A nurse is preparing to administer immunizations to a 6-month-old infant.Which interventions should the nurse implement to minimize local reaction and reduce pain? (Select all that apply.)

Question

Quizplus · Accepted Answer

To minimize local reaction and reduce pain when administering an immunization,select a needle of adequate length (25 mm [1 inch] in infants)to deposit the antigen deep in the muscle mass.Apply a vapocoolant spray (e.g.,ethyl chloride or Fluori-Methane)directly to the skin or to a cotton ball,which is placed on the skin for 15 seconds immediately before the injection.Inject into the vastus lateralis or ventrogluteal muscle; the deltoid may be used in children 18 months of age and older.Apply the topical anesthetic LMX4 (4% lidocaine)to the injection site 30 minutes before the injection.Ten minutes does not allow the anesthetic to be effective.

A Nurse Is Preparing to Administer Immunizations to a 6-Month-Old