Difficulty: Medium
Average Score: 68%
Simulated
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Use the Z-track technique to administer the medication. The Z-track technique is recommended for IM injections to prevent leakage or staining of the medication, especially for irritating or staining medications like those used for gonorrhea. By using the Z-track technique, the nurse can ensure the medication is properly administered into the muscle and minimize tissue irritation.
Choice A is incorrect because a 27-gauge 7-inch needle is not typically used for IM injections, especially for gonorrhea treatment. Choice B is incorrect as the injection site should be specific to the medication and not a general distance from the umbilicus. Choice C is incorrect as aspirating prior to injection is important to ensure the needle is not in a blood vessel, especially for IM injections.
Choice A is incorrect because a 27-gauge 7-inch needle is not typically used for IM injections, especially for gonorrhea treatment. Choice B is incorrect as the injection site should be specific to the medication and not a general distance from the umbilicus. Choice C is incorrect as aspirating prior to injection is important to ensure the needle is not in a blood vessel, especially for IM injections.