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C.   The needle should be withdrawn slowly and steadily to minimize tissue trauma and prevent medication leakage.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

Explanation

A. This response is associated with cranial nerve II, the optic nerve.

B. Tongue position is associated with cranial nerve XII, the hypoglossal nerve.

C. A symmetrical smile is indicative of cranial nerve VII, the facial nerve.

D. This action is associated with cranial nerve XI, the accessory nerve.

A. Use sterile gloves to obtain the sputum specimen. B. Place the sputum specimen in a clean container. C. Collect the sputum specimen in the morning. D. Obtain the sputum specimen after the client uses mouthwash.

Correct Answer is C

Explanation

A. Sterile gloves are not necessary for collecting sputum specimens. Clean gloves are typically sufficient.

B. Sputum specimens should be collected in a sterile container to prevent contamination.
C. Early morning specimens are preferred due to increased sputum production from the overnight accumulation of secretions.
D. Mouthwash may contain substances that interfere with sputum culture results, so specimens should be collected before mouthwash use.

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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?