A nurse is reviewing a provider's prescription for IV fluid therapy for a client who has fluid volume deficit. Which of the following units of measurement should the nurse use to administer the fluid using an IV pump?

A. "Be sure to sit when you urinate and double flush the toilet with the lid closed.": This instruction relates to precautions for clients taking medications that can be excreted in urine, such as certain chemotherapeutic agents, and is not relevant to methimazole therapy.

B. "Take precautions in crowds to avoid people who are ill.": Methimazole can cause agranulocytosis, leading to a decreased ability to fight infections. Clients should be advised to avoid large crowds and report symptoms like fever or sore throat promptly.

C. "It is important that you avoid contact with young children and pregnant people.": Methimazole does not require strict avoidance of these populations under normal circumstances, so this is not standard discharge teaching.

D. "Refrain from returning to work for the first few days of therapy.": Routine work restrictions are not necessary when starting methimazole unless the client experiences adverse effects such as severe fatigue or infection.

C. Cleanse the skin using a circular motion: Cleaning the site first prevents infection and prepares the area for safe injection. Using a circular motion from the center outward helps remove microorganisms without contaminating the injection site.

E. Hold the needle with the bevel facing up: Positioning the needle bevel up ensures a smoother entry into the dermis and reduces tissue trauma, which is important for accurate intradermal administration.

A. Insert the needle into the dermis layer of skin: The needle is inserted at a very shallow angle into the dermis. Proper placement is essential for the tuberculin test to produce a valid reaction.

B. Inject the medication slowly with the skin pulled taut: Slowly injecting the medication ensures it remains in the dermis and prevents leakage into subcutaneous tissue. Pulling the skin taut stabilizes the area and allows for precise administration.

D. Produce a small wheal on the surface of the skin: The appearance of a small, raised wheal confirms that the medication has been correctly administered intradermally. This wheal is necessary for the subsequent reading of the tuberculin test.