Week 3 PrepU 210

The nurse is educating the parents of a 2-year-old child regarding immunizations. When the parents ask where the injections will be given the nurse answers that the most appropriate site for an intramuscular injection for a child this age is the:

vastus lateralis muscle. When administering an intramuscular injection to a 2-year-old child, the preferred site is the vastus lateralis. The dorsogluteal muscle is not a recommended injection site for any age, due to the risk of damaging nerves in the area. The deltoid muscle is underdeveloped in this age group, and therefore not recommended. The ventrogluteal muscle may be developed enough, but is not the first choice.

A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection?

1 mL The volume of a subcutaneous injection is usually up to 1 mL. An intramuscular injection is the administration of up to 3 mL of medication into one muscle or muscle group. Intradermal injections are commonly used for diagnostic purposes in small volumes, usually 0.01 to 0.05 mL.

A client with allergy has been advised to have an allergy test. The nurse needs to administer an injection to the client for allergy testing. Which of the following injection routes is most suitable for allergy testing?

Intradermal Intradermal injection routes are commonly used for tuberculin tests and allergy testing because they are administered between the layers of the skin. A subcutaneous injection is not suitable because it is administered more deeply than an intradermal injection; whereas, an intramuscular injection is administered in one muscle or muscle group. Intravenous injection is also not suitable because it is instilled into veins.

A nurse is using the Z-track technique to administer an injection to a client. Which of the following injection routes utilizes the Z-track technique?

Intramuscular When administering intramuscular injections, nurses may administer drugs that may be irritating to the upper levels of tissue by the Z-track technique. Clients report slightly less pain during and the next day after a Z-track injection compared with the usual intramuscular injection technique. The Z-track technique is not suitable for intravenous injections as they are administered into the veins, nor is it used for intradermal or subcutaneous injections.

A nurse is bunching the tissue of a client when administering a subcutaneous injection to a client. The nurse knows that which of the following is the reason for bunching when injecting subcutaneously?

To avoid instilling medication within the muscle Nurses bunch tissue between the thumb and fingers before administering the injection to avoid instilling medication within the muscle. Bunching does not prevent needle-stick injuries, it does not facilitate blood circulation at the injection site, nor does it ensure the accuracy of landmarking.