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.It is important for the nurse to instruct the parents to
1. avoid cleaning the area with alcohol.
2. use only the legs for injection sites.
3. delay giving injection by one day ifchild becomes upset.
4. rotate the injection sites.
Answer:4
Rationale:Lipoatrophy may occur at growth-hormone injection sites;therefore, the sites should be rotated. The area should be cleansed with alcohol. The arms, thighs,abdomen,and fatty part of the buttocks can be used for injection sites, and the injection should be given at the same time every day so a routine is established. This minimizes the trauma of receiving daily injections.Delay in giving the injection will only heighten the child's anxiety.
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