A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

Insert the needle slowly and gently.

Use 45' angle of insertion.

Aspirate for to 10 seconds.

Pull the skin 1.2 cm (1/2 inch) to the side.

Answer and Explanation

The Correct Answer is D

The Z-track technique is an intramuscular injection technique used to prevent leakage to medication into the subcutaneous site after injection. It involves;

pulling the skin and subculture tissue about one inch away from the muscle
Insert the needle at 90 degrees
Needle inserted quickly and deeply
Remove the needle then release the skin
Do not massage or aspirate

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Correct Answer is A

Explanation

Acute shortness of breath in a client with a central venous catheter could be secondary to various respiratory complications such as pulmonary embolism and pneumothorax. Taking the appropriate action requires a quick assessment through auscultation as the emergency management of the various complications is different.
A. This is the immediate action to prevent more air from entering the venous system.
B. The left lateral trendelenburg position is relevant in hypotension but not a priority action.

C.uscultating breath sounds is an important assessment, especially if the cause of the shortness of breath is unclear. It can help identify wheezing, crackles, or absence of breath sounds, which may suggest conditions like pneumothorax, pulmonary embolism, or infection. However, while auscultation is an important diagnostic step, it is typically done after initial interventions (such as positioning or administering oxygen) to stabilize the client.
D. Initiating oxygen therapy is important in cases of respiratory distress but assessment is priority in this case

A. Hold pressure on the conjunctiva sac for 2 min following application of drops. B. Administer the medications 5 min apart. C. It is not necessary to remove contact lenses before administering medications. D. Administer the medications by touching the tip of the dropper to the sclera of the eye.

Correct Answer is B

Explanation

When using multiple eye drops, it's generally recommended to wait at least 5 minutes between administering each medication. This helps prevent dilution of the medication and improves its absorption.
A is incorrect because holding pressure on the conjunctival sac after administering eye drops is not necessary and may increase systemic absorption of the medication.
C is incorrect because contact lenses should typically be removed before administering eye drops to prevent interference with the medication reaching the eye.
D is incorrect because touching the tip of the dropper to the sclera of the eye can contaminate the dropper tip and increase the risk of infection. It's important to administer eye drops without touching the tip to the eye or any other surface.

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A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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