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.

Answer and Explanation

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C.   The needle should be withdrawn slowly and steadily to minimize tissue trauma and prevent medication leakage.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.

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Correct Answer is B

Explanation

A. While decreased appetite may be concerning, it is not typically considered a priority over potential complications related to immobility.
B. Left lower extremity tenderness could indicate deep vein thrombosis (DVT), a serious complication of prolonged bed rest that requires immediate attention to prevent pulmonary embolism.
C. Increased heart rate during physical activity may be expected after a period of bed rest and can be addressed with gradual reconditioning.

D. Musculoskeletal weakness is a common consequence of immobility and would be addressed as part of the client's rehabilitation but is not an immediate priority compared to potential complications like DVT.

A. A family whose head of household lost their job. B. A family whose house was destroyed in a fire. C. A family whose only child recently died due to cancer. D. A family whose oldest child is moving away for college.

Correct Answer is D

Explanation

A. This represents a situational loss, as it is related to external circumstances such as economic changes.
B. This also represents a situational loss, as it involves the loss of material possessions.
C. This is a situational loss, specifically a loss of a loved one, which is different from a maturational loss.It is unexpected andoccurs due to an external event or situation.
D. This is an example of a maturational loss, as it involves a normal life transition that brings about feelings of loss and adjustment.

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A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?

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A nurse is administering an intramuscular injection to a client using the Z-track method.
Which of the following actions should the nurse take?