The student nurse is preparing to administer an iron preparation via the intramuscular (IM) route. Which action indicates the need for further instruction?
a. The student changes needles after drawing up the medication.
b. The student administers 3 mL at the ven-trogluteal site.
c. The student chooses a 20-gauge needle.
d. The student uses the Z-track technique when administering the injection.
B
Such intramuscular (IM) injections must not exceed 2 mL at each site, and the sites of injection should be rotated to allow for proper absorption and to minimize the hazards of local inflamma-tion. When administering an IM iron preparation, it is important to change the needle after drawing up the medication and use a 19- to 20-gauge, 3-inch needle for injection since iron is irritating to the tissues. The Z-track technique for IM injection is recommended.
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