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 A

Explanation

Theophylline is a potent bronchodilator with potential side effects including tachycardia, heart arrhythmias, diuresis, diarrhea and stimulation of the central nervous system.

B-Theophylline causes diuresis

C-Theophylline causes diarrhea

D-Theophylline causes insomnia, restlessness

A. Hypoglycemia B. Hypertension C. Hypervolemia D. Hypokalemia

Correct Answer is D

Explanation

Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.

Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately

A. furosemide does not affect the blood glucose levels

B. furosemide is used to lower blood pressure by reducing venous return.

C. furosemide reduces fluid load by blocking water reabsorption in the kidney

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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 providing discharge instructions to a client who has asthma and is about to Start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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