NCLEX-PN

Category - Pharmacological Therapies

The nurse is ordered to administer iron dextran IM to a client with iron deficiency unresolved by oral iron supplements. The medication is not appropriately administered if which action by the nurse is demonstrated?
  1. Administration through the Z-track technique
  2. Needle withdrawal 10 seconds after the injection of medication
  3. Insertion of needle at a 90-degree angle
  4. Needle withdrawal 0.5 inch every 10 seconds
Explanation
Answer: D - Iron dextran is irritable to subcutaneous tissues, so a Z-track technique is the best way to administer the medication. The needle is withdrawn 10 seconds after injecting the medication, not incrementally. The other options are appropriate.
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