Prior to administering immunizations to a two month-old infant, ...

[tsand2]

Prior to administering immunizations to a two month-old infant, the nurse should:
 
  a. be sure EMLA was applied to injection site one to two hours prior to injection.
  b. ask the mother to hold the infant securely while the nurse administers the immunization.
  c. administer all the immunizations in the same syringe and injection site.
  d. inject the immunization slowly into the muscle.

Question 2

After teaching a client prescribed oral cyclosporine following his heart transplant, the nurse recognizes client understanding of the instructions when he responds:
 
  a. I can dilute my medication in chocolate milk or orange juice.
  b. There is no interaction between the cyclosporine and my verapamil.
  c. St. John's wort causes an increase in the action of the cyclosporine.
  d. I won't need to have drug levels drawn for this medication.

[sailorcrescent]

Answer to Question 1

ANS: A, D

Feedback
Correct a. and d. The EMLA will decrease/eliminate injection pain and injecting the medication slowly will decrease/eliminate muscle pain of injection.
Incorrect b. Mother should not be expected to participate in the child's potentially painful experience. c. No more than 1 mL should be injected into the vastus lateralis muscle.

Answer to Question 2

ANS: A

Feedback
A Correct: This indicates client understanding.
B Incorrect: Verapamil increases serum cyclosporine levels.
C Incorrect: St. John's wort causes a decrease in the action of cyclosporine.
D Incorrect: Chronic oral cyclosporine use, which is characteristic of a client posttransplant should have periodic cyclosporin serum levels drawn.

[tsand2]

TYSM

[debra928]

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