A client is to receive a dose of fluphenazine hydrochloride (Prolixin) by intramuscular injection. What is the most important nursing intervention related to the injection?
a. Massage the site vigorously after injection.
b. Administer the drug using Z-tracking.
c. Avoid rotating the injection sites.
d. Select a 22- to 23-gauge needle.
ANS: B
This medication is very viscous and requires Z-track, deep IM injection to avoid muscle irritation.
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