Author Question: The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is ... (Read 26 times)

jilianpiloj · **on:** Jul 23, 2018

The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching?

a. This is necessary to prevent staining of the patient's skin.
b. This technique allows slower, more sustained absorption.
c. You may use the ventrogluteal site when using this method.
d. I should use a 27-gauge needle to minimize discomfort with this method.

Question 2

The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?

a. I may put the tablet in food if I don't like the taste.
b. I may take a sip of water after placing the tablet in my mouth.
c. I will place the tablet between my cheek and gum.
d. I will place the tablet under my tongue and let it absorb.

joshraies · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
The Z-track method is used to prevent staining of the skin. It does not affect absorption. The gluteal site is preferred, and, generally, the needle is a larger bore.

Answer to Question 2

ANS: D
Drugs given sublingually should be placed under the tongue. No foods or fluids should be given, since the tablet must remain under the tongue until it is fully absorbed. Medications ordered to be given buccally should be placed between the cheek and gum.