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 B

Explanation

It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.

A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid

C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity

D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it

A. 'This medication can cause photophobia, so be sure to wear sunglasses outdoors." B. "Limit your daily fluid intake while taking this medication." C. "If the medicine causes an upset stomach, take an antacid at the same time." D. "You should report any tendon discomfort you experience while taking this medication."

Correct Answer is D

Explanation

Ciprofloxacin is a fluoroquinolone antibiotic that is associated with tendon rupture and tendonitis especially involving the Achilles tendon. Informing the client to report any tendon pain ensure that any complication is addressed and the medications stopped if need be.
A. ciprofloxacin causes diplopia and blurred vision but does not cause photophobia hence no need for sunglasses
B. The client should increase hydration as organism in UTI can predispose to urolithiasis
C. Antacids containing aluminum, magnesium, or calcium can interfere with the absorption of ciprofloxacin, reducing its effectiveness. They should be taken at least 2 hours before or 6 hours after taking the medication.

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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 preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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