The advantages of the ventrogluteal muscle as an injection site ...

[bobypop]

The advantages of the ventrogluteal muscle as an injection site in young children include which considerations? (Select all that apply.)
 
  a. Less painful than vastus lateralis
  b. Free of important nerves and vascular structures
  c. Cannot be used when child reaches a weight of 20 pounds
  d. Increased subcutaneous fat, which increases drug absorption
  e. Easily identified by major landmarks

Question 2

The nurse is doing a prehospitalization orientation for a 7-year-old child who is scheduled for cardiac surgery.
 
  As part of the preparation, the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:
  a. unnecessary.
  b. the surgeon's responsibility.
  c. too stressful for a young child.
  d. an appropriate part of the child's preparation.

[strudel15]

Answer to Question 1

ANS: A, B, E
The advantages of the ventrogluteal are being less painful, free of important nerves and vascular lateralis, and is easily identified by major landmarks. The major disadvantage is lack of familiarity by health professionals and controversy over whether the site can be used before weight bearing. The use of the ventrogluteal has not been clarified. It has been used in infants, but clinical guidelines address the need for the child to be walking, thus generally being over 20 pounds. The site has less subcutaneous tissue, which facilitates intramuscular (rather than subcutaneous) deposition of the drug.

Answer to Question 2

ANS: D
Explanation is a necessary part of preoperative preparation. If the child wakes and is not prepared for the inability to speak, she will be even more anxious. This is a necessary component for preparation for surgery that will help reduce the anxiety associated with surgery. It is a joint responsibility of nursing, medical staff, and child life personnel.

[bobypop]

Thank you

[strudel15]

No problemo