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

Soy contains compounds called isoflavones, which inhibit the absorption of levothyroxine in the gastrointestinal tract, leading to decreased blood levels and effectiveness of the medication.

A. Saw palmetto does not interact significantly with levothyroxine.

C. Cranberry does not have significant interactions with levothyroxine.

D. Garlic does not interact significantly with levothyroxine.

A. Draw a trough level immediately prior to administering the medication and peak level 30 min after the dose. B. Draw a peak level at 0900 and a trough level at 2100. C. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. D. Draw a trough level at 0900 and a peak level at 2100.

Correct Answer is A

Explanation

Trough levels should be taken immediately to ensure that the drug levels are at the lowest. Peak levels are taken 30-45mins after the infusion as the drug levels rises rapidly reaching a peak level

B, D- The timings of measurement are closely related to the administration of the drug

C- Peak levels are taken after administration and trough levels after an d not vice versa

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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?

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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?