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Sandie95 Sandie95
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6 years ago
The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a six-month-old infant.
 
  To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site? 1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh
  2. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid
  3. 22-gauge, 1/2-inch needle; IM (intramuscular); dorsogluteal
  4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh
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Replies
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6 years ago
1
Rationale 1: This vaccine is only given SQ to infants, not IM.
Rationale 2: Infants do not receive medication/vaccines in the deltoids.
Rationale 3: A 22-gauge needle is too big for infants, and injections should not be given in the dorsogluteal site.
Rationale 4: The dose of DTaP is 0.5 cc or 0.5 mL, to be given with a 22 to 25-gauge, 5/83/4-inch needle; IM (intramuscularly). The anterolateral thigh is safe to use for this age infant. Research has shown that the ventrogluteal site also may be used safely for this age infant.
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