Author Question: A nurse is preparing to administer ferrous sulfate IM to a client with anemia. What should the nurse ... (Read 36 times)

jhjkgdfhk · **on:** Jul 23, 2018

A nurse is preparing to administer ferrous sulfate IM to a client with anemia. What should the nurse consider when giving this injection?

1. Give the injection in the deltoid muscle.
2. Iron is best absorbed if given subcutaneously.
3. Iron is irritating to the tissues.
4. The z-track method should be used.
5. Iron preparations should be administered through a needle gauge 16 or larger.

Question 2

A client is scheduled to have chemotherapy Thursday at 9 a.m. Filgrastim (Neupogen) has also been ordered. The nurse should plan which dosing time for the Neupogen?

1. No later than 9 a.m. on Wednesday
2. At the time of the chemotherapy infusion
3. Immediately following the chemotherapy
4. No earlier than 9 a.m. Friday
5. Immediately before the chemotherapy

nital · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3,4
Rationale 1: The injection should be given deep IM in a larger muscle.
Rationale 2: Iron should be given deep IM.
Rationale 3: Iron is irritating to tissues.
Rationale 4: Z-track injection reduces leakage into the tissues and is the preferred method of IM injection of iron.
Rationale 5: There is no indication of need to use a large diameter needle for injection.

Answer to Question 2

Correct Answer: 1,4
Rationale 1: Neupogen should be given at least 24 hours before chemotherapy.
Rationale 2: The effectiveness of the Neupogen will be diminished by the chemotherapy.
Rationale 3: The effectiveness of the Neupogen will be diminished by the chemotherapy.
Rationale 4: Neupogen should be given no earlier than 24 hours after chemotherapy.
Rationale 5: The effectiveness of the Neupogen will be diminished by the chemotherapy.