Iron dextran is ordered for a young child with severe iron deficiency anemia. Nursing considerations include:
a. Administering with meals.
b. Administering between meals.
c. Injecting deeply into a large muscle.
d. Massaging injection site for 5 minutes after administration of drug.
ANS: C
Iron dextran is a parenteral form of iron. When administered intramuscularly, it must be injected into a large muscle using the Z-track method. Iron dextran is for intramuscular or intravenous administration; it is not taken orally. The site should not be massaged to prevent leakage, potential irritation, and staining of the skin.
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