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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

Collecting a stool specimen for occult blood is not the most relevant test for suspected

Clostridium difficile infection. Stool culture or testing for C. difficile toxins is more appropriate.

Choice B reason:

Conducting a tape test is used to diagnose pinworms, not Clostridium difficile infection.

Choice C reason:

This statement is correct. Obtaining a stool specimen for culture, specifically for C. difficile, is the appropriate action for suspected infection.

Choice D reason:

Drawing a blood culture is not the primary diagnostic test for Clostridium difficile. Stool culture or testing for C. difficile toxins is more appropriate.

A. Give 500 mg acetaminophen PO every 2 hr. B. Administer a 300-mg aspirin suppository. C. Place the child in an ice bath. D. Lower the temperature of the room.

Correct Answer is D

Explanation

Choice A reason:

This is a high dose for a 2 year old child.

Choice B reason:

Aspirin is contraindicated for children with viral infections due to the risk of Reye's syndrome. It should not be administered.

Choice C reason:

Placing the child in an ice bath is an overly aggressive intervention and can lead to hypothermia. It is not recommended.

Choice D reason:

Lowering the temperature of the room is important in reducing external temperature to help cool the baby.

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