Pediatric ATI Practice Exam

What action should a nurse anticipate for an 8-year-old child with a deep puncture wound?

1. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine.

2. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster (DT).

3. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine.

4. Adult tetanus booster (Td).

The correct answer is: Adult tetanus booster (Td).

For an 8-year-old child with a deep puncture wound, the appropriate action is to administer a Tetanus, Diphtheria, and Acellular Pertussis (Tdap) vaccine. This vaccine is specifically designed for adolescents and adults and contains a higher amount of pertussis in addition to protection against diphtheria and tetanus. In the context of a deep puncture wound, it’s crucial to update the child's tetanus vaccination status based on their vaccination history and the nature of the wound. The Tdap booster is particularly important in adolescents and children who may not have received a booster in the last ten years, as a deep puncture increases the risk of tetanus infection. The other options are not the best choice for an 8-year-old for various reasons. For example, the Diphtheria, Tetanus, and Acellular Pertussis (DTaP) vaccine is more appropriate for children under 7 years of age, as it is designed to protect younger children. Administering tetanus immune globulin (TIG) along with the pediatric tetanus booster (DT) is usually indicated in cases of severe or dirty wounds in patients who are not fully vaccinated, but in