A nurse is administering an intramuscular injection to a client using the Z-track technique. Which of the following actions should the nurse perform during this administration?
A) Withdraw the needle and release taut skin immediately after injection.
B) Depress the plunger with the index finger of the nondominant hand.
C) Apply pressure and massage the site immediately after withdrawing the needle.
D) Use the side of the hand to pull the tissue laterally about 1 in. before injection.
D
Feedback:
When using the Z-track technique, the nurse should use the side of the hand to pull the tissue laterally about 1 in. (2.5 cm) until the tissue is taut. The needle is depressed with the thumb, not the finger, and the needle should be left in place for several seconds following injection. Massage is contraindicated.
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