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 D

Explanation

Taking ferrous sulfate between meals enhances its absorption as some food substances can interfere with iron absorption. Therefore, it is generally recommended to take ferrous sulfate on an empty stomach, typically 1 hour before meals or 2 hours after meals. However, if gastrointestinal upset occurs when taking ferrous sulfate on an empty stomach, it can be taken with a small amount of food to minimize discomfort.
A. Antacids containing aluminum, calcium, or magnesium can bind with iron and reduce its absorption.
B. Dairy products, including yogurt, can also inhibit iron absorption due to the presence of calcium.
C. Taking it at bedtime increases the likelihood of gastrointestinal discomfort reducing its effectiveness due to interference from food.

A. Renal failure B. Metabolic alkalosis C. Aplastic anemia D. Cardiac dysrhythmia

Correct Answer is C

Explanation

Zidovudine (AZT) is an antiretroviral drug used in treatment of HIV to suppress viral replication. It causes aplastic anemia, suppression of the bone marrow, leasing to reduces production of all hematopoietic cell lines including red blood cells, white blood cells, and platelets.

A, B, and D - are not associated with Zidovudine use

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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 teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has HIV-I infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for Which of the following adverse effects of this medication?

Correct Answer is C

Explanation

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