A nurse is preparing to administer a tube feeding to a child who has an NG tube. Which of the following actions should the nurse take?

Choice A reason:

While parental divorce can be a stressful event for adolescents, it alone does not pose the highest risk of suicide completion.

Choice B reason:

Parental substance use disorder can contribute to a challenging family environment, but it is not the highest risk factor for suicide completion in adolescents.

Choice C reason:

Loss of family income can create stress and instability, but it is not the highest risk factor for suicide completion.

Choice D reason:

Bipolar disorder, especially when combined with depressive symptoms, significantly increases the risk of suicide in adolescents. It is important to monitor adolescents with bipolar disorder closely and provide appropriate mental health support and intervention. While other factors mentioned can contribute to a child's overall well-being, they do not carry the same level of direct risk for suicide completion as bipolar disorder with depressive symptoms.

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.