A patient is to receive a medication that is irritating to muscle ...

[Davideckstein7]

A patient is to receive a medication that is irritating to muscle tissue. The most appropriate injection technique involves which of the following?
 
  a. Z-track technique of injection
  b. Subcutaneous technique of injection
  c. Use of the vastus lateralis in adults
  d. Use of the deltoid muscle in children less than 12 months old

Question 2

Which finding will best indicate to the nurse that the teaching about a dressing change was successful?
 
  a. The patient understands how to change an abdominal dressing.
  b. The patient acknowledges the principles of an abdominal dressing change.
  c. The patient correctly demonstrates an ab-dominal dressing change as taught.
  d. The patient states, Yes, I know how to change the dressing.

[livaneabi]

Answer to Question 1

A
It is recommended that you use the Z-track injection method when giving IM injections to mi-nimize irritation by sealing the medication in muscle tissue. You only give small subcutaneous doses (0.5 to 1.5 mL) of water-soluble medications to adults because subcutaneous tissue is sen-sitive to irritating solutions and large volumes of medications. You may use the vastus lateralis in children less than 12 months and the deltoid in patients older than 12 months.

Answer to Question 2

C
Demonstration is the best method to evaluate a psychomotor skill. Examples of evaluating the effectiveness of teaching include having patients show how to perform a newly learned skill (e.g., self-catheterization) or asking patients to explain how they will incorporate newly ordered medi-cations into their daily routines. Evaluating the effectiveness of teaching for a psychomotor skill includes a demonstration, not understanding or acknowledging. Just stating, Yes does not in-dicate learning like a demonstration does.