An 18 month old child was brought to the well-baby clinic for booster dose of DPT vaccine. Which among the following muscles is preferred by the nurse to administer vaccine?

Correct Answer: D

Rationale: DPT (diphtheria, pertussis, tetanus) booster at 18 months requires safe intramuscular injection. Dorsogluteal (choice A) risks sciatic nerve injury in toddlers, avoided until older. Ventrogluteal (choice B) is safe but less used in small children due to positioning. Deltoid (choice C) has limited muscle mass in 18-month-olds, risking injury. Vastus lateralis (choice D), on the thigh, is large, accessible, and free of major nerves/vessels, ideal for this age per WHO/CDC. D is correct. Nurses use it, ensuring proper technique and comfort, supporting immunization efficacy.

Correct Answer: A

Rationale: Stress isn't solely nervous energy (A), making it untrue. It's a broader response physical, emotional, psychological to demands, per Selye's theory, not just nervous. It's essential (B), universal (C), and requires coping (D), all true. Nervous energy oversimplifies stress, ignoring its adaptive role (e.g., fight-or-flight), thus A is the incorrect statement.

Correct Answer: A

Rationale: This must be difficult'¦ for your own good' (A) is non-therapeutic; it dismisses Erik's fear with justification, not empathy. B reflects feelings, C clarifies, and D explores all therapeutic. A's paternal tone, per Rogers, risks shutting down dialogue, making it the incorrect response.

Correct Answer: C

Rationale: Kardex isn't the primary basis of endorsement (C); it supports, but verbal/written reports lead, per practice. It provides info (A), aids shift reports (B), and lists allergies (D) all true. C's 'primary' overstates, making it untrue.

Correct Answer: D

Rationale: Lydia Hall (D) coined 'nursing process' with three steps observation, ministration, validation per nursing history. Nightingale (A) focused environment, Johnson (B) behavior, Rogers (C) unitary humans. D matches Hall's contribution, making it correct.