Difficulty: Medium
Average Score: 66%
Simulated
Passage / Scenario
3-month-old infant receiving immunizationsA nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct answer
A
Rationale
The correct answer is A: Provide a pacifier coated with an oral sucrose solution prior to the injections. This is appropriate because it helps to reduce pain and distress during the immunizations by providing comfort and distraction to the infant. The sweet taste of sucrose can trigger the infant's natural pain-relief mechanisms, making the experience less traumatic.
Choice B is incorrect because a 20-gauge needle is too large for an infant, which can cause more pain and discomfort. Choice C is also incorrect as applying EMLA cream before the injections may not be suitable for infants due to potential skin irritation or allergic reactions. Choice D is incorrect as immunizations for infants are usually administered in the vastus lateralis muscle of the thigh, not the deltoid muscle.
Choice B is incorrect because a 20-gauge needle is too large for an infant, which can cause more pain and discomfort. Choice C is also incorrect as applying EMLA cream before the injections may not be suitable for infants due to potential skin irritation or allergic reactions. Choice D is incorrect as immunizations for infants are usually administered in the vastus lateralis muscle of the thigh, not the deltoid muscle.