The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a 6-month-old infant
To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site? 1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh
2. 22-gauge, 1/2-inch needle; IM (intramuscular); dorsogluteal
3. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid
4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh
1
Rationale:
1. This vaccine is only given SQ to infants, not IM.
2. A 22-gauge needle is too big for infants, and injections should not be given in the dorsogluteal site.
3. Infants do not receive medication/vaccines in the deltoids
4. The dose of DTaP is 0.5 cc or 0.5 mL, to be given with a 22–25-gauge, 5/8–3/4-inch needle; IM (intramuscularly). The anterolateral thigh is safe to use for this age infant. Research has shown that the ventrogluteal site also may be used safely for this age infant.
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