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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.
B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.
C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics
D.Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.
Correct Answer is C
Explanation
warfarin inhibits vitamin K epoxide reductase interfering with the synthesis of vitamin K dependent clotting factors (II, VII, IX, and X). This prolongs the prothrombin time, expressed in the form of INR international normalized ratio. Monitoring of INR helps to ensure that the prescribed dosages are within the therapeutic levels without increasing the risk of bleeding. The target INR range is between 2.5 and 3.5.
A. Used to monitor heparin therapy
B, D- not used for monitoring
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