The nurse in a pediatric clinic is preparing to give a toddler ...

[Yi-Chen]

The nurse in a pediatric clinic is preparing to give a toddler and a preschooler intramuscular (IM) antibiotics. The nurse chooses the injection sites for each child based on which considerations?
 
  1. The vastus lateralis muscle is the preferred site for IM injections in toddlers.
  2. After the child has been walking for a year, the ventrogluteal site is used for IM injections.
  3. Use of the dorsogluteal site should be avoided.
  4. The vastus lateralis muscle is the preferred site for IM injections in preschoolers.
  5. The dorsogluteal site is the preferred site for IM injections.

Question 2

A clinic nurse is discussing an acne medication regimen with an adolescent client. Which statements by the adolescent represent common problems with adherence?
 
  1. I was taking the medicine for a while, but it didn't seem to be working.
  2. I took it the first month but my mom got busy and kept forgetting to get my refill.
  3. I felt nauseous whenever I took the medicine.
  4. The nurse explained everything to me so that I could understand.
  5. I only have to take the medication once a day.

[onowka]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: The vastus lateralis muscle is the preferred site for IM injections in toddlers because there are few nerves and the muscle is well developed.
Rationale 2: After the child has been walking for a year, the ventrogluteal site is used for IM injections because it causes less pain than the vastus lateralis.
Rationale 3: Use of the dorsogluteal site has declined due to the risk of affecting the sciatic nerve.
Rationale 4: The vastus lateralis muscle is the preferred site for IM injections in toddlers, not preschoolers.
Rationale 5: Use of the dorsogluteal site has declined due to the risk of affecting the sciatic nerve.
Global Rationale: The vastus lateralis muscle is the preferred site for IM injections in toddlers (not preschoolers) because there are few nerves and the muscle is well developed. After the child has been walking for a year, the ventrogluteal site is used for IM injections because it causes less pain than the vastus lateralis. Use of the dorsogluteal site has declined due to the risk of affecting the sciatic nerve.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: High expectations of a successful outcome will help clients adhere to a medication regimen. If the medication does not meet these expectations, the client may stop taking it.
Rationale 2: Clients are more likely to follow a medication regimen if they have supportive family members.
Rationale 3: Clients are more likely to adhere to a medication regimen if there are minimal adverse effects. Teaching the client to take this medication with food may decrease the nausea and improve adherence.
Rationale 4: Positive interactions with staff may increase adherence.
Rationale 5: A simple, short-term, inexpensive regimen with minimum daily disruption helps to increase adherence.
Global Rationale: High expectations of a successful outcome will help clients adhere to a medication regimen. If the medication does not meet these expectations, the client may stop taking it. Clients are more likely to follow a medication regimen if they have supportive family members. Clients are more likely to adhere to a medication regimen if there are minimal adverse effects. Teaching the client to take this medication with food may decrease the nausea and improve adherence. Positive interactions with staff may increase adherence. A simple, short-term, inexpensive regimen with minimum daily disruption helps to increase adherence.

[Yi-Chen]

Both answers were spot on, thank you once again

[onowka]

Great! Please up vote