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    ATI PN Paediatrics Nursing Proctored Exam 2023

    A nurse is preparing to administer a vaccine to a toddler.Which of the following actions should the nurse plan to take?

    Explanation & Rationale

    Choice A rationaleThe dorsogluteal muscle is not recommended for vaccine administration in toddlers due to its proximity to the sciatic nerve and potential for injury. The anterolateral thigh is the preferred site due to the presence of thicker muscle layers in younger children.Choice B rationaleMassaging the injection site is not necessary and may lead to irritation or increased discomfort. Vaccine administration guidelines emphasize minimizing trauma to the site rather than stimulating the area post-injection.Choice C rationaleObtaining informed consent is essential before administering any vaccine. This step ensures legal and ethical compliance, allowing guardians to understand the risks and benefits associated with the immunization.Choice D rationaleAspiration is no longer recommended in vaccine administration according to updated guidelines. Aspiration increases injection time and patient discomfort without evidence of enhancing safety.

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