Nurses are aware that administering intramuscular injections among young children is difficult because of the small doses and small amounts of tissue involved. What plan of care should not be instituted to minimize this difficulty?
  1. Utilize ventrogluteal or vastus lateralis muscles
  2. Have someone gently restrain a child if necessary
  3. Administer the injection while the child is asleep to prevent aggressiveness
  4. Inject medications taken from a glass ampule through a needle with a filter
Explanation
Answer - C - Plan of care that should not be instituted to minimize this difficulty is to administer the injection while the child is asleep to prevent aggressiveness. It is advisable to awaken the child, if asleep, before injections and explain that medication is going to be administered under the skin. Be sure to utilize a good technique to minimize discomfort.
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