Question

The nurse is teaching a group of student nurses about the parenteral administration of iron dextran. What instructions does the nurse include in the teaching? Select all that apply.

a) Administer iron dextran deep into the muscle.

b) Inject the iron dextran using a Z-track method.

c) Use a small-gauge needle for injection.

d) Massage the injection site after administration.

e) Monitor the patient for allergic reactions during administration.

Answer 1

For the safe administration of iron dextran, it should be administered deeply into the muscle, using the Z-track technique, avoiding the use of a small-gauge needle, not massaging the injection site, and monitoring for allergic reactions.

Step-by-step explanation:

When teaching student nurses about the parenteral administration of iron dextran, it's essential to include several critical points in the guidance:

• Administer iron dextran deep into the muscle to ensure that the medication is absorbed properly.
• Inject the iron dextran using a Z-track method to minimize tissue irritation and prevent the medication from leaking back along the needle track.
• A small-gauge needle is not recommended; instead, use a needle that is suitable for deep intramuscular injections.
• Do not massage the injection site after administration, as this can cause the medication to spread to surrounding tissues and increase the risk of irritation and other complications.
• Monitor the patient for allergic reactions during administration, as this is important for promptly identifying and managing potential adverse effects.

By adhering to these guidelines, student nurses can help ensure the safe and effective administration of iron dextran.