A nurse is administering an intramuscular injection to a client using the Z-track method.
Which of the following actions should the nurse take?
Release the skin before withdrawing the needle.
Insert at a 45° angle.
Withdraw the needle quickly.
Pull the skin laterally.
The Correct Answer is D
A. With the Z-track method, the skin is pulled laterally or to the side before the needle is inserted and released after the injection is administered to ensure the medication remains within the muscle and does not leak into the subcutaneous tissue.
B. The angle of insertion for intramuscular injections can vary depending on factors such as the client's body habitus and the length of the needle but is typically 90 degrees.
C. The needle should be withdrawn slowly and steadily to minimize tissue trauma and prevent medication leakage.
D. The Z-track method involves pulling the skin laterally or to the side before inserting the needle to create a zigzag pathway for the medication. This helps seal the needle track after the injection, reducing the risk of medication leakage into subcutaneous tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.
C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.
Correct Answer is A
Explanation
A. This statement reflects a misconception about menopause and sexual health, indicating a need for education on safe sex practices.
B. This statement indicates the client is taking steps to address discomfort during sexual activity, which is appropriate.
C. This statement reflects body image concerns commonly experienced by older adults and may warrant further exploration but does not necessarily indicate a need for immediate intervention.
D. This statement indicates a normal interest in sexual activity and does not necessarily indicate a need for intervention.
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