Final answer:
A small test dose of iron dextran must be administered to the client prior to the full dose to check for any potential adverse reactions. Monitoring vital signs afterwards is critical. The Z-track method is used for intramuscular injections to reduce discomfort and avoid tissue staining.
Step-by-step explanation:
Before administering iron dextran, a parenteral form of iron for severe iron-deficiency anemia, it is imperative to administer a small test dose first. This is a necessary precaution because of the potential for anaphylactic reactions that can occur with iron dextran administration. The nurse should observe the client for any adverse reactions during this period. After ensuring the client's tolerance to the medication, the nurse can proceed with the full prescribed dose. Vigilance in monitoring the client's vital signs is also crucial after the administration of the test dose and the actual dose.
When administering iron dextran, especially intramuscularly, the Z-track method is often used, which helps to seal the medication in the muscle and minimize skin staining. This technique is important when administering medications that can irritate the subcutaneous tissue. Informed consent is necessary for all procedures and medications but is not specific to the administration of iron dextran compared to obtaining a test dose which is a specific precaution. The Z-track method can be used for intramuscular injections to reduce discomfort and tissue staining. All these measures contribute to the safe and effective management of iron-deficiency anemia.