Author Question: The nurse is preparing to administer an intramuscular injection via the Z-track method. Which action ... (Read 37 times)

burchfield96 · **on:** Jul 23, 2018

The nurse is preparing to administer an intramuscular injection via the Z-track method. Which action should be taken by the nurse?

a. Pinch the skin between the thumb and the first finger.
b. Insert the needle at a 90-degree angle.
c. Immediately remove the needle after injecting the medication.
d. Release the skin before removing the needle from the site.

Question 2

To determine if the client on mechanical ventilation has an improperly placed airway and unilateral lung inflation, the nurse should:

A. Auscultate lung sounds
B. Monitor the blood pressure
C. Measure the respiratory rate
D. Check the settings for the ventilator alarm

dajones82 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
For an intramuscular injection, the needle is inserted perpendicular to the patient's body as close to 90 degrees as possible. In using the Z-track method, the overlying skin and subcutaneous tissues are pulled approximately 2.5 to 3.5 cm (1 to inches) laterally to the side with the ulnar side of the nondominant hand. Keep the needle inserted for 10 seconds after injection to allow the medication to disperse evenly. Release the skin after withdrawing the needle.

Answer to Question 2

A
A, B, C, and D. Auscultation of lung sounds verifies placement of an artificial airway.