A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client.
Which of the following is the safest site for the nurse to use?

A. Constipation is not typically associated with TPN because the client is receiving nutrients intravenously rather than through the gastrointestinal tract.

B. Respiratory depression is not a direct complication of TPN administration.

C. Hypotension is not a common complication of TPN unless associated with fluid shifts or infection.

D. Electrolyte imbalance is a potential complication of TPN due to the high concentrations of glucose, electrolytes, and other nutrients. Rapid infusion, improper formulation, or abrupt discontinuation can lead to imbalances in sodium, potassium, calcium, magnesium, and phosphate. Frequent monitoring of laboratory values is essential to prevent metabolic complications.

A. Active range-of-motion exercises are not appropriate for a child with increased intracranial pressure and decreased level of consciousness, as they may increase intracranial pressure.

B. Maintaining the head at a midline position helps promote proper cerebral perfusion and reduces the risk of further increases in intracranial pressure.

C. Frequent suctioning of the airway can stimulate the gag reflex and increase intracranial pressure. Suctioning should only be done as needed to maintain a clear airway.

D. Neurological checks should be performed more frequently than every 4 hours in a child with increased intracranial pressure and decreased level of consciousness, ideally at least every hour or as indicated by the child's condition.