A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has fallen asleep in his mother's arms when the nurse approaches. Which approach is most appropriate at this time?

Question

Options

• AGive the injection in the vastus lateralis site before the child awakens.
• BAwaken the child first and give the injection in the ventrogluteal site.
• CAwaken the child first and give the injection in the dorsogluteal site.
• DAsk the mother to place the child on the examination table and leave the room, and then give the

• A
  5% (2)
• B
  82% (31)
• C
  3% (1)
• D
  11% (4)

Explanation

(A) If awakened first, the child will know that nothing painful will be done without the child being (B) The ventrogluteal site is a safe site for children because it is a large muscle free of major nerves and blood vessels. (C) The dorsogluteal site is not recommended in children who have not been walking for at least 1 year because the muscle is not fully developed. (D) The parent will be able to offer support and comfort during and after the injection.

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