Page 1200 - Saunders Comprehensive Review For NCLEX-RN

Test-Taking Strategy: Focus on the subject, milliliters per dose. Use the formula to
determine the correct dose, and verify the answer using a calculator.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Skills: Dosage Calculations
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Potter et al. (2017), pp. 620-621.

421. Answer: 4

Rationale: Intramuscular injection sites are selected on the basis of the child’s age
and muscle development of the child. The vastus lateralis is the only safe muscle
group to use for intramuscular injection in a 4-month-old infant. The sites identified
in options 1, 2, and 3 are unsafe for a child of this age.
Test-Taking Strategy: Note the strategic word, best, and focus on the age of the
child identified in the question. Thinking about the physiological development of the
muscle groups in an infant at 4 months of age will assist in directing you to the
correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Skills: Medication Administration
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Hockenberry, Wilson, Rodgers (2017), pp. 607-608.

422. Answer: 1.5

Rationale: Use the formula for calculating the medication dose.
Formula:

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