The nurse is teaching another nurse about the administration of medication using the Z track technique. Which is the primary reason for using a Z track technique to administer a medication?

To administer a medication that is very irritating to the tissues.

To administer a medication that requires use of an extra long needle.

To follow the healthcare provider's prescription for Z track administration.

To administer a large volume of medication.

Answer and Explanation

The Correct Answer is A

A.   The Z-track technique helps to prevent medication from leaking into the subcutaneous tissue and minimizes irritation by sealing the medication in the muscle. This is especially important for medications that are known to cause irritation or staining, such as iron supplements or some antipsychotics
B.   The length of the needle is not directly related to the use of the Z-track technique. The Z-track method is used to minimize irritation and ensure that the medication is deposited in the muscle rather than leaking into the subcutaneous tissue.
C.   The reason for using the Z-track technique is related to preventing irritation and ensuring proper medication delivery, rather than simply following a prescription.
D.   The volume of medication is not the primary reason for using the Z-track technique. While the Z-track method can be used for administering larger volumes of medication, the technique's primary purpose is to prevent leakage and reduce tissue irritation.

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Correct Answer is ["A","B","D","E"]

Explanation

A. The cheeks can be affected by the nasal cannula, especially if it is not positioned properly or if it causes irritation over time.
B. The area around the nostrils is one of the most common sites for skin damage related to nasal cannulas. Continuous contact with the cannula can cause irritation, redness, or even sores in this area.
C. The nasal cannula itself does not typically make contact with the forehead. Therefore, skin damage across the forehead is not generally a concern related to the use of a nasal cannula.
D. The bridge of the nose is a key area to inspect for skin damage. The nasal cannula’s prongs often rest on or near the bridge of the nose, which can lead to pressure sores, redness, or irritation in this area. Regular assessment is important to prevent and address any damage.
E. The tops of the ears can be affected if the nasal cannula’s tubing or securing mechanism (such as behind-the-ear supports or loops) causes friction or pressure. Skin breakdown can occur in this area if the cannula is not properly adjusted or if it causes irritation.

A. Document the assessment data. B. Increase the liter flow of oxygen. C. Encourage the client to take deep breaths. D. Remove the mask to deflate the bag.

Correct Answer is A

Explanation

A. It's normal for the reservoir bag not to deflate completely during inspiration. A respiratory rate of 14 breaths/minute is within the normal range (12-20 breaths/minute). If the client is comfortable and their oxygen saturation is within the normal range, there is no need for intervention. Documenting the assessment data for future reference is sufficient.
B. Increasing the liter flow of oxygen may not be necessary if the client's oxygen saturation is within the normal range. It could also lead to oxygen toxicity if the flow is set too high.
C. Encouraging deep breaths may not be necessary if the client's respiratory rate is within the normal range.
D. Removing the mask to deflate the bag is not necessary and could interfere with the delivery of oxygen.

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The nurse is teaching another nurse about the administration of medication using the Z track technique. Which is the primary reason for using a Z track technique to administer a medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client who has a nasal cannula delivering oxygen at 2 liters/minute. To assess for skin damage related to the cannula, what areas should the nurse observe? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

The nurse assesses an adult client with a partial rebreather mask and notes that the oxygen reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths/minute. Which action should the nurse implement?

Correct Answer is A

Explanation

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