Which nursing action is accurate when administering an IM injection using the Z track method?
a. Use a 1-inch needle.
b. Add 0.5 mL of air to the syringe.
c. Vigorously massage the injection site.
d. Pinch up the skin.
ANS: B
Adding 0.5 mL of air ensures that the drug will clear the needle. A 1-inch needle may not ensure deep muscle penetration. Massaging the injection site could cause the medication to leak into the muscle tissue. The skin should be stretched, not pinched up.
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