An intramuscular (IM) injection is ordered for a 6-month-old ...

[tnt_battle]

An intramuscular (IM) injection is ordered for a 6-month-old child. The nurse should select the injection site of:
 
  a. Dorsogluteal
  b. Ventrogluteal
  c. Vastus lateralis
  d. Deltoid

Question 2

The parents are distressed about the appearance of their baby who has a Logan bow in place following the repair of a cleft lip. The nurse explains that the bow is a very important piece of post-surgical equipment because it:
 
  a. Helps to satisfy the baby's sucking need
  b. Helps shape the lip
  c. Reduces tension on the suture line
  d. Makes nursing easier in the post-surgical period

[C.mcnichol98]

Answer to Question 1

C
The nurse would choose the vastus lateralis because it is well-developed at birth, it is the largest muscle mass, and it has the fewest vessels and nerves. The dorsogluteal is not fully developed until the child has walked for 1 to 2 years. The ventrogluteal should not be used until 18 months. The deltoid cannot be used for large volumes of medication or for medications that need to be administered into the deep muscle mass.

Answer to Question 2

C
The Logan bow reduces tension on the suture line.