A nurse is caring for a 60-year-old, sedentary female patient. ...

[RYAN BANYAN]

A nurse is caring for a 60-year-old, sedentary female patient. While educating the patient about how many calories are required to maintain her current body weight, the nurse recommends approximately
 
  1. 800 calories a day.
  2. 1000 calories a day.
  3. 1600 calories a day.
  4. 2000 calories a day.

Question 2

The nurse has a prescription to administer a dose of iron by a parenteral route to an assigned client. Which of the following would the nurse implement to administer this medication correctly via the intramuscular route? Select all that apply.
 
  1. Use a Z-track method.
  2. Administer the medication only in the deltoid.
  3. Aspirate for blood after the needle is inserted.
  4. Use an air lock when drawing up the medication.
  5. Change the needle after drawing up the dose and before injection.
  6. Massage the injection site well after injection to hasten absorption.

[strudel15]

Answer to Question 1

ANS: 3

Answer to Question 2

1, 3, 4, 5

Rationale: An air lock and a Z-track technique should both be used when administering iron by the intramuscular route. Proper technique includes changing the needle after drawing up the medication but before giving it to prevent staining of skin. The dorsogluteal site should be used only after proper identification of appropriate landmarks. After the needle is inserted, the nurse should aspirate for the presence of blood and should proceed with the administration if no blood is aspirated. The site should not be massaged after injection because massaging could cause staining of the skin.

[RYAN BANYAN]

Excellent

[bdobbins]

Gracias!