A nurse is preparing to administer ferrous sulfate IM to a client with anemia. What should the nurse consider when giving this injection?
1. Give the injection in the deltoid muscle.
2. Iron is best absorbed if given subcutaneously.
3. Iron is irritating to the tissues.
4. The z-track method should be used.
5. Iron preparations should be administered through a needle gauge 16 or larger.
Correct Answer: 3,4
Rationale 1: The injection should be given deep IM in a larger muscle.
Rationale 2: Iron should be given deep IM.
Rationale 3: Iron is irritating to tissues.
Rationale 4: Z-track injection reduces leakage into the tissues and is the preferred method of IM injection of iron.
Rationale 5: There is no indication of need to use a large diameter needle for injection.
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The nurse assesses a client and finds that a grating sound is present when a joint is bent and straightened. The nurse would correctly document this finding as which of the following?
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