The nurse in a pediatric clinic is preparing to give a toddler and a preschooler intramuscular (IM) antibiotics. The nurse chooses the injection sites for each child based on which considerations?
1. The vastus lateralis muscle is the preferred site for IM injections in toddlers.
2. After the child has been walking for a year, the ventrogluteal site is used for IM injections.
3. Use of the dorsogluteal site should be avoided.
4. The vastus lateralis muscle is the preferred site for IM injections in preschoolers.
5. The dorsogluteal site is the preferred site for IM injections.
Correct Answer: 1,2,3
Rationale 1: The vastus lateralis muscle is the preferred site for IM injections in toddlers because there are few nerves and the muscle is well developed.
Rationale 2: After the child has been walking for a year, the ventrogluteal site is used for IM injections because it causes less pain than the vastus lateralis.
Rationale 3: Use of the dorsogluteal site has declined due to the risk of affecting the sciatic nerve.
Rationale 4: The vastus lateralis muscle is the preferred site for IM injections in toddlers, not preschoolers.
Rationale 5: Use of the dorsogluteal site has declined due to the risk of affecting the sciatic nerve.
Global Rationale: The vastus lateralis muscle is the preferred site for IM injections in toddlers (not preschoolers) because there are few nerves and the muscle is well developed. After the child has been walking for a year, the ventrogluteal site is used for IM injections because it causes less pain than the vastus lateralis. Use of the dorsogluteal site has declined due to the risk of affecting the sciatic nerve.
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