Which does the nurse use as anatomical landmarks for the ventrogluteal injection site?
1. Greater trochanter and knee
2. Acromion process, scapula, and axilla
3. Anterosuperior iliac spine and iliac crest
4. Posterior superior iliac spine and iliac crest
3
3. To locate the ventrogluteal muscle with the client on the left side, the nurse pal-pates the head of the femur and the anterosuperior iliac spine with the left hand. Place the heel of the right hand on the greater trochanter with the thumb pointing to the groin and index finger toward the anterosuperior iliac spine. Extend the middle finger back to the iliac crest toward the buttocks, creating a V between the index finger and the middle finger; the injection site is in the middle of this V.
1, 2, and 4. The remaining anatomical sites are associated with fibrosis, nerve damage, abscess, tissue necrosis, muscle contraction, gangrene, and pain and, thus, are not preferred locations for injections.
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