When is it acceptable to use the deltoid muscle as an injection ...

[mydiamond]

When is it acceptable to use the deltoid muscle as an injection site for infants?
 
  a. Medication is irritating.
  b. Dose is a long-acting medication.
  c. Child is combative.
  d. Volume is quite small.

Question 2

Which nursing action is accurate when administering an IM injection using the Z track method?
 
  a. Use a 1-inch needle.
  b. Add 0.5 mL of air to the syringe.
  c. Vigorously massage the injection site.
  d. Pinch up the skin.

[Bigfoot1984]

Answer to Question 1

ANS: D
The deltoid site should be used in infants only when the volume is quite small, the medication is nonirritating, and the dose will be quickly absorbed. Irritating and long-acting medications should be injected in deep muscle tissue such as the vastus lateralis. A combative child should be adequately restrained and injected in a fairly large muscle mass.

Answer to Question 2

ANS: B
Adding 0.5 mL of air ensures that the drug will clear the needle. A 1-inch needle may not ensure deep muscle penetration. Massaging the injection site could cause the medication to leak into the muscle tissue. The skin should be stretched, not pinched up.

[mydiamond]

Thanks for the timely response, appreciate it

[ghepp]

Gracias!