The nurse needs to administer an intramuscular (IM) injection to a patient who is 7 months old. Which is the best site for the nurse to use for the injection?
a. Deltoid
b. Dorsogluteal
c. Ventrogluteal
d. Vastus lateralis
D
The preferred IM injection site for patients under the age of 12 months is the vastus lateralis muscle because it is a relatively large muscle mass without major nerves and blood vessels, has a consistent layer of fat, and has a good safety record. The deltoid is suitable for well-developed children and adolescents with use of a 5/8-inch needle. The dorsogluteal site is contraindicated because of the major anatomical structures that it contains. The ventrogluteal site is a safe site for injections in all age-groups; however, the vastus lateralis is the preferred site for infants.
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A) "I really need to carefully check for skin breakdown.". B) "I must really scrub her teeth and gums well.". C) "I must use a soft toothbrush.". D) "I can use a soft gauze sponge to care for her gums.".
The nurse is advising a client who been using diphenhydramine (Benadryl) over-the-counter (OTC) to induce sleep. The client complains about a dry mouth. The nurse explains that:
1. Diphenhydramine causes less dryness if taken in the liquid form. 2. Drying of the mouth membranes is common after taking diphenhydramine. 3. Drowsiness caused by the diphenhydramine caused the client to reduce fluid intake. 4. Diphenhydramine has a muscle relaxant effect, so the client is likely sleeping with the mouth open.
When should you wear a mask?
A) all of the time B) only for HIV patients C) during procedures that produce splattering or spraying of blood or body fluids D) none of the above