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C.   The needle should be withdrawn slowly and steadily to minimize tissue trauma and prevent medication leakage.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 D,E,C,B,A

Explanation

A. Deep palpation is the final step in an abdominal examination since it may elicit tenderness which may interfere with other aspects of examination.
B. This is the second last step just before deep palpation. It is used to detect any obvious masses or areas of tenderness.
C. Percussion is the third step in an abdominal examination where the nurse should percuss the client's abdomen systematically, tapping lightly on each area and noting the sound quality. It can be used to detect the presence of ascites which be stony dull on percussion.
D. Inspection is the first step where the nurse should inspect the contours of the client's abdomen using a penlight, looking for any abnormalities or distension.

E. Auscultation is the second step in an abdominal examination. The nurse should auscultate the client's abdomen using the diaphragm of the stethoscope, listening for bowel sounds in all four quadrants.

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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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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Explanation

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Correct Answer is D

Explanation

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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?