The student nurse reads the order to give a 1-year-old client an intramuscular injection. The ap-propriate and preferred muscle to select for a child is the:
1. Deltoid
2. Dorsogluteal
3. Ventrogluteal
4. Vastus lateralis
ANS: 3
Research that has investigated complications associated with IM injection sites indicates that the ventrogluteal site is the preferred site for most injections given to adults and children over 7 months. The deltoid muscle is not developed enough for an IM injection in the 1-year-old client. The dorsogluteal site is not recommended because of the risk of the needle hitting the sciatic nerve. The vastus lateralis is a preferred site for infants less than 12 months old.
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The nurse is interviewing the mother of a three-week-old Caucasian infant. Which statement by the mother indicates she requires further education about her newborn's eyes?
1. "It's normal for my baby not to produce tears when she cries." 2. "At this stage, my baby should be able to fixate on a bright light or something that moves." 3. "My baby's eyes are blue and definitely will stay blue." 4. "It was normal for my baby's eyes to be swollen after birth."
An elderly client is recovering from a severe burn to 50% of the body. Which of the following aging considerations are important to remember in caring for an elderly client with a burn injury?
a. Normal physiologic changes associated with aging delay recovery and put the older adult at greater risk for complications following a burn injury. b. The stress of a severe burn can leave the body unable to cope with demands for increased oxygen and increased cardiac output. c. The older adult has an increased glomerular filtration rate which protect the client from kidney failure. d. An older client's skin is more fragile due to the loss of subcutaneous tissue. e. Circulation, especially in the lower extremi-ties may already be compromised, so healing will be delayed. f. Skin grafting may not be successful because of impaired circulation and impaired nutrition.
It is important for the nurse to understand strategies that promote a fiscally responsible clinical practice. From the following listing, select those strategies that would achieve a fiscally responsible clinical practice. (Select all that apply.)
a. Completes charge slips or scans bar code of nursing supplies used when changing a surgical dressing b. Participates in the annual hospital fund-raising activity c. Visits the Centers for Medicare & Medicaid Services to understand what services are provided during an inpatient visit d. Immediately reports any development of a patient medical complication to the health care provider e. Volunteers to participate in a hospital program initiative to reduce central line associated bloodstream infection (CLABSI) f. Completes a patient's discharge plan on the morning of discharge
A person is on a bland diet. Which is correct?
a. Foods are high in roughage. b. Foods are served at cooler temperatures. c. Foods contain strong spices for taste. d. Fried foods are not allowed.