A nurse is preparing to administer parenteral iron dextran to a school-age child. Which of the following administration methods should the nurse plan to use?
Subcutaneously into the vastus lateralis
Intramuscularly using the Z-track method
Subcutaneously into the deltoid
Intramuscularly using a 20-gauge needle
The Correct Answer is B
Choice A reason:
Administering iron dextran subcutaneously into the vastus lateralis is not the recommended route for this medication. It is typically administered intramuscularly.
Choice B reason:
Correct. The preferred method for administering iron dextran is intramuscularly using the Z-track method. This technique helps prevent leakage of the medication into the subcutaneous tissue.
Choice C reason:
Administering iron dextran subcutaneously into the deltoid is not the preferred route for this medication. It is typically administered intramuscularly.
Choice D reason:
While a 20-gauge needle may be appropriate for intramuscular injections, the Z-track method is the preferred technique for administering iron dextran intramuscularly. The gauge of the needle may vary depending on the specific circumstances and patient characteristics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Being adopted can contribute to various emotional and social challenges for a child, but it is not a direct risk factor for physical maltreatment.
B. Prematurity is identified as a potential risk factor for physical maltreatment. Premature infants may have developmental delays or health issues that can increase stress on caregivers, potentially leading to maltreatment.
C. Myopia does not pose a risk factor for physical maltreatment; it is a common vision issue that does not correlate with maltreatment.
D. Acute otitis media is a common childhood illness and is not associated with an increased risk of physical maltreatment. It may cause discomfort and frustration but does not directly relate to the potential for maltreatment.
Correct Answer is C
Explanation
Choice A reason:
Increased alertness may be a sign of improved glucose levels, but it is not as direct an indicator as a blood glucose measurement.
Choice B reason:
Diaphoresis is a symptom of low blood glucose levels and indicates the need for intervention rather than effectiveness of therapy.
Choice C reason:
A blood glucose level of 50 mg/dL is within the normal range and indicates that the glucagon therapy has been effective in raising blood glucose levels.
Choice D reason:
The presence of urine ketones indicates that the body is using fats for energy, which may occur in the absence of adequate glucose. This is not an indicator of the effectiveness of glucagon therapy.
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