A nurse in the high-risk obstetrical unit monitors a student nurse preparing to give a patient a dose of betamethasone (Celestone). Which action by the student warrants intervention by the nurse?
A.
Assesses the patient's lung sounds prior to administration
B.
Draws up 12 mg in a syringe with a 20-gauge needle
C.
Gently shakes the medication before drawing it up
D.
Prepares to administer medication in the deltoid muscle
ANS: D
Betamethasone should not be administered in the deltoid muscle, as it can cause local atrophy. It needs to be given in a larger muscle. The other actions are appropriate for this medication.
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