The nurse prepares to administer an irritating medication by the Z-track technique. Which technique does the nurse use to administer this intramuscular (IM) injection properly?

a. Inserts the needle and pulls the skin later-ally before injecting the medication
b. Has the patient lie in a supine position to prevent medication leakage
c. Waits 10 seconds and releases the skin before withdrawing the syringe
d. Pulls the patient's skin laterally before inserting the needle


D
The nurse pulls the patient's skin to the side before inserting the needle using the Z-track tech-nique to prepare the seal for the medication after injection. When the skin is released after the needle is withdrawn, it assumes its original place and helps to contain the medication. The nurse retracts the patient's skin and inserts the needle. Supine positioning does not prevent medication leakage. The nurse waits 10 seconds but withdraws the needle and then releases the skin.

Nursing

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A nurse instructor is teaching a student nurse about the factors that have increased the number of people with sexually transmitted diseases (STDs) seen in practice. Which statement by the student indicates a lack of understanding?

a. "There are improved techniques to diagnose an STD used in practice." b. "There is increased incidence of sexual abuse and sexual trafficking." c. "Females feel safe using oral agents rather than a condom as contraception." d. "The organisms causing STDs are all becoming more virulent."

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An elderly man is brought to the geriatrics clinic by his wife because of his increasing confusion. As part of his medical workup, the nurse practitioner orders which of the following laboratory tests? (Select all that apply.)

a. Basic metabolic panel b. Vitamin D level c. Thyroid stimulating panel d. Vitamin B12 e. Serum albumin level

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Which of the following instructions is important for the nurse to discuss with a patient with septic arthritis preparing for discharge to home?

A) Perform aseptic dressing changes daily after your wound care. B) Range-of-motion exercises will assist in management of the infection. C) Episodic removal of the splint will result in an increased comfort level. D) Oral antibiotic therapy will be required for 3 to 6 months.

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Older persons are at risk for HIV/AIDS. Which statement is correct?

a. The disease is often found during diagnosis. b. Aging and other diseases can mask the signs and symptoms. c. They are more likely to be tested for HIV. d. They refuse tests and treatment.

Nursing