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    ATI PN Pharmacology 2020 Proctored Exam

    A nurse is preparing to administer an IM injection to a client who has gonorrhea.Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A rationale:Injecting the medication at least 5 cm (2 in) from the umbilicus is not a standard guideline for IM injections. The site of injection depends on factors such as the volume of medication and patient’s age and muscle mass.Choice B rationale:Using the Z-track technique to administer the medication is correct. This technique helps to seal the medication in muscle tissue, reducing leakage into subcutaneous tissue.Choice C rationale:Giving the medication without aspirating prior to injection is not recommended. Aspiration ensures that the needle is not in a blood vessel before injecting.Choice D rationale:Administering the medication with a 27-gauge '/,-inch needle may not be appropriate for an IM injection, especially for adults. A longer and larger gauge needle is typically used for IM injections.

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