The nurse is administering an iron medication to a client via the Z-track method. Which of the following are recommended guidelines/steps for this procedure? Select all answers that apply
A) Use the Z-track method only in the deltoid site.
B) Pinch the skin of the injection site to raise the site.
C) Insert the needle, aspirate, and inject the medication.
D) Quickly remove the needle after injecting the medication.
E) Do not massage the injection site.
F) Allow the skin to return to its original position slowly, while removing the needle.
C, E, F
Feedback:
Use the Z-track method only in the gluteal muscles. To administer a medication by Z-track, pull the skin of the injection site to one side. Insert the needle, aspirate, and inject the medication. Keep the skin taut and pulled to one side; wait a few seconds before withdrawing the needle. Allow the skin to return to its original position slowly, while removing the needle. As the tissues slide past each other, they close the needle track. Do not massage the injection site when using the Z-track administration method.
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