A nurse is preparing to administer an injection to a patient. ...

[jayhills49]

A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method?
 
  a. I am allergic to many medications.
  b. I'm really afraid that a big needle will hurt.
  c. The last shot like that turned my skin colors.
  d. My legs are too obese for the needle to go through.

Question 2

A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication?
 
  a. 3-mL syringe
  b. U-100 syringe
  c. Needleless syringe
  d. Tuberculin syringe

[jomama]

Answer to Question 1

ANS: C
The Z-track is indicated when the medication being administered has the potential to irritate sensitive tissues. It is recommended that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medication in muscle tissue. The Z-track method is not meant to reduce discomfort from the procedure. If a patient is allergic to a medication, it should not be administered. If a patient has additional subcutaneous tissue to go through, a needle of a different size may be selected.

Answer to Question 2

ANS: D
Because there is no syringe currently designed to prepare U-500 insulin, many medication errors result with this kind of insulin. To prevent errors, ensure that the order for U-500 specifies units and volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up the doses. A 3 mL and U-100 can result in inaccurate dosing. A needleless syringe will not be acceptable in this situation.

[jayhills49]

TYSM

[tkempin]

Excellent