A child with growth hormone deficiency will be receiving a daily subcutaneous injection of biosynthetic growth hormone. The parents are being trained to administer the injection
Which instruction is most important for the nurse to include in parent instructions? 1. Avoid cleaning the area with alcohol before giving the injection.
2. Use only the legs for injection sites.
3. Delay giving the injection by 1 day if the child becomes upset.
4. Rotate the injection sites.
4
Rationale:
1. The area should be cleansed with alcohol.
2. The arms, thighs, abdomen, and fatty part of the buttocks can be used for injection sites.
3. The injection should be given at the same time every day so that a routine is established. This minimizes the trauma of receiving daily injections. Delaying giving the injection will only heighten the child's anxiety.
4. Lipoatrophy can occur at growth hormone injection sites; therefore, the sites should be rotated.
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