The physician has advised the use of the vastus lateralis site. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The Z track method will not be appropriate for any types of medications that are given via subcutaneous injection or intravascularly. National Patient Safety Goals for the hospital program. Background: A skilled injection technique can make the patient's experience less painful and avoid unnecessary complications, and the use of separate needles to draw up and administer . Damping the motion of the mass reduces the maximum amplitude of oscillation of the building. The correct insertion point is: A 2-year-old girl is brought in to receive an intramuscular injection. Content is reviewed before publication and upon substantial updates. Instruct the patient regarding the potential side effects of the medication. It's okay if a small amount of air is in the syringe at this point. (2022). (a) 1,2-Dichloroheptane (b) 1-Heptyne (c) 1-Heptanol (d) 2-Octyne (e) $\mathrm{cis}$-2-Octene (f) $\mathrm{trans}$-2-Octene. Int J Crit Illn Inj Sci. The sum of all chemical reactions in a cell is referred to as. Trivia Quiz. speed $82.6$ cm/s. St. Louis: Elsevier. National Healthcare Association Phlebotomy Certification Practice Test! Route, Site, and Needle Size. Perform hand hygiene. Patients who are learning to give injections for home-based treatment should ask their healthcare provider to explain the best method for their specific medication and situation. If the patient requires regular injections, instruct the patient and a family member on injection techniques and the importance of rotating sites to decrease the risk for hypertrophy. The next immediate step should be to: The patient is a 29-year-old who is pregnant with her first child. Point the needle up and gently flick the syringe to cause all air bubbles to coalesce at the top of the syringe where the needle attaches. Some providers will pull back on the plunger after the needle is inserted and before the medication is given. Hold this position until the medication is injected. Subcutaneous (SC) injections. This is an example of: A 40-year-old male has recently received an injection in the ventrogluteal site and returned to receive another intramuscular injection in the same site. There may be exceptions for specific medications. 0.2222 + 0.0003 + 0.216 =. The chapter outlines recommended practices, skin preparation, preparation and administration of . *In these skills, a classic reference is a widely cited, standard work of established excellence that significantly affects current practice and may also represent the foundational research for practice. Hold the syringe between the thumb and forefinger of the dominant hand as if holding a dart, palm down. Point the index finger to the anterior superior iliac spine. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. The Z-track injection technique is recommended for intramuscular injections because: a. it prevents drug leakage into subcutaneous tissue. Learn more about Clinical Skills today! That leaking is also called tracking. A nurse should be back to check on patient within how much duration time? Some persons should be observed longer30 minutesafter receiving COVID-19 vaccine. Underline the term that means the ability of a trait to be passed from one generation to the next. Vaccine recommendations and guidelines of the ACIP: General best practice guidelines for immunization. Taipei 101 (a 101-story building in Taiwan) is sited in an area that is prone to earthquakes and typhoons, both of which can lead to dangerous oscillations of the building. If possible, a family member should be trained to administer these injections. How would the nurse locate the site? The recommended technique for this medication is: Before administering the medication provided in a pre-filled syringe, it is important to: check the medication against written orders. Let the area dry. Explain the procedure and ensure that the patient agrees to treatment. What should be done for a patient who requires repeated injections? All information these cookies collect is aggregated and therefore anonymous. 2. Selecting a 14 gauge, 1-1/2?8" needle.3. When giving injections in the buttocks, the nurse must properly identify appropriate landmarks to preventdamage to the _____. Hello there! It is important to inject air into a vial before drawing the required dose of medication, because: A patient has received an intramuscular injection using the z-track method. 2023 Dotdash Media, Inc. All rights reserved. A vapocoolant spray (e.g., ethyl chloride) may also be used just before injection to decrease pain. Int J Nurs Pract. Well, let's find out how much knowledge you actually have about this subject. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Administer the injection using the Z-track method, if appropriate. Some of the evidence-based strategies for reducing procedural pain in children can also be used to help prevent distress and alleviate fear in adults. Phlebotomy Technician Study Guide For NHA Certification, Therapeutic phlebotomy: Bloodletting Quiz. Once all of the equipment is gathered, the caregiver should wash his or her hands thoroughly for at least 60 seconds. Patient complains of localized pain, bleeding, or continued burning at injection site, indicating potential injury to nerve or vessels. (c) Write the general equation giving the transverse dis- Ask for the patients name as an additional identifier. After cleansing the site, the needle is injected deep into the muscle and the medication is injected slowly. COVID-19 vaccine has been associated with enhanced local/injection site reactions l (e.g., pain, swelling, redness). Some subcutaneous injections come prefilled with the syringe attached. Hold this position until the medication is injected. Phlebotomy Technician Study Guide For NHA Certification. Medication is administered according to the six rights of medication safety. (2023). To relax this site, the patient lies on the side or back, flexing the knee and hip. So, let's start then. Standardize education and management competency among nurses, therapists and other health professionals to ensure knowledge and skills are current and reflect best practices and the latest clinical guidelines. IM injections are given deep into a muscle where the medication is then absorbed quickly by surrounding blood vessels. Aspiration in injections: should we continue or abandon the practice?. Name the tissue layer and site of an intradermal injection, Other than the deltoid, name 1 other site for intramuscular injection. The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. Although pain from injections is, to some extent, unavoidable, there are some things that parents and health care providers can do to help prevent distress and decrease fear. During the COVID-19 pandemic, gloves should be worn when administering intranasal or oral vaccines. CDC and the Advisory Committee on Immunization Practices (ACIP) guidance states COVID-19 vaccines can be given during the same visit with other vaccines, including flu vaccine, if the recipient is eligible for the vaccines. She has come into the clinic and will need an IM injection. In what position would the nurse place the client? Adult patients who require frequent injections should be instructed to apply a topical analgesic to the injection site before administration. 2014;3:157. doi:10.12688/f1000research.1113.3. Monitor the patient for adverse and allergic reactions to the medication. A. The nurse is preparing to administer an intramuscular injection to a client. If preparing the medication, make sure to double check medications and dosages to follow the instructions exactly. 7.4: Intramuscular Injections. Centers for Disease Control and Prevention (CDC). At what angle would the nurse insert the needle? Make sure you identify the direction of travel. (d) Calculate the tension in the string. Her weight should be checked prior to the procedure, in order to ensure that the correct: The physician has requested an intramuscular injection, using the z-track technique. What action would the nurse take immediately following the injection? For more information, see Contraindications and Precautions for Varicella Vaccination or Guidelines for Vaccinating Pregnant Women: Varicella. Smoothly, quickly, and steadily withdraw the needle and release the skin. Compare the patients name and one other identifier (e.g., organization identification number) with the MAR. Injecting the most painful vaccine last when multiple injections are needed can decrease the pain associated with the injections. Delivers medication into the muscle tissues. Anderson, C.E., Herring, R.A. (2022). Turn the vial and syringe upside down so that the needle points upward. If not using the Z-track method, follow these steps for injection. Instruct the patient and a family member to observe for effectiveness of the medication and adverse reactions and to report ineffectiveness of the medication and adverse reactions to the practitioner. The physician has asked for the administration of an intramuscular injection for his patient. The lower the gauge number, the larger the diameter of the needle. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Abstract. How much medication can the nurse safely administer to the deltoid muscle? Palpate for tenderness or hardness and avoid hardened areas. Occupational exposure to bloodborne pathogens; needlestick and other sharps injuries; final rule. Patient displays adverse reaction to the medication, with signs of urticaria, eczema, pruritus, wheezing, or dyspnea. Saving Lives, Protecting People. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. All the best! to 5/8 in. It provides step-by-step instructions for how to use the Z-track method and why it may be used. D. Massage the injection site. If the patients shirt cannot be removed, the sleeve should be rolled up so that landmarks can be visualized and used appropriately.4. For older children and adults, the deltoid muscle can be used for more than one intramuscular injection. Which anatomical landmark will the nurse identifyto administer the injection safely? Clin Nurse Spec. The size of the needle is expressed in both length and gauge (diameter). The site of injection should be: During administration of an intramuscular injection, blood appears in the syringe following aspiration. Keep any injection site clean and covered. What countries are affected by the clean air act? Before administering IM injection, a nurse should inspect the skin for? The ventrogluteal site is a safe injection site for adults and children receiving irritating or viscous solutions and is the site of choice for administering IM injections to adults. That can force medication to leak out of the injection site. The volume of air should be equivalent to: When administering an intramuscular injection to patients currently receiving immunotherapy, it is important to be aware of the high risk of: After injecting the needle for administering an intramuscular injection, and before depressing the plunger to inject the medication: The correct injection site for the dorsogluteal muscle is the: Pulling the skin taut at the site of injection facilitates: After calculating the correct medication dose, the next step is to: check the calculation with another staff member. The Z-track method helps to prevent leaking after an IM injection by altering the track created by the needle. Assess the patients history of allergies, including any drug allergies, type of allergens, and normal allergic reaction. Inject all the air into the vial. It prevents drug leakage into subcutaneous tissue. Make sure there is no air in the syringe that can be injected into the patient. Often, more than one vaccine is needed during the same doctors visit, requiring more than one shot. Write formulas for the following acids and bases: c. it creates a tunnel for drug absorption. Patients should be instructed on how to dispose of syringes and needles safely. Mr. Smith came into the clinic to receive his annual flu shot. A six month old babies brought in for an intramuscular injection. Inspect the skin surface over sites for bruises, inflammation, or edema. Additional information on providing immunization services during a pandemic is available here: Routine and Influenza Immunization Services During the COVID-19 Pandemic: Interim Guidance | CDC. 1. If additional cleaning is necessary, perform that first and make the alcohol swab the final preparation. Have the patient perform several return demonstrations of medication preparation to validate learning. The nurse is administering an intramuscular injection in the deltoid site when the client pulls away from the needle before the medication is fully injected. Instruct the patient and a family member to observe injection sites for complications and to report complications to the practitioner immediately. 1 . Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, Essentials of Strength Training and Conditioning. Vaccines available in the United States are administered by 4 routes: When administering a vaccine by injection, choose the correct needle size based on the route, age, patient size, and injection technique. Move the dominant hand to the end of the plunger. An IM injection is a shot of medicine given into a muscle (intramuscular). In E. Hall and others (Eds. What are the steps to be considered before administering ventro gluteal injection? The ventrogluteal site involves the gluteus medius and minimus muscles and is a safe injection site for adults and children.5 This site provides the greatest thickness of gluteal muscle, is free of penetrating nerves and blood vessels, and has a narrower layer of fat. The smallest syringe available for the volume of liquid administered is best for proper control and dosing. Injecting vaccines rapidly without aspiration, Using tactile stimulation (rubbing/stroking near the injection site before and during injection), Distracting the patient (done by either the parent or clinician), Having the patient seated rather than lying down. Continue to push until only the correct amount of medication remains in the syringe and a drop of medication is visible at the tip of the syringe. : A comparison of intramuscular injection explanations in nursing fundamental texts. The Z-track method is a method of administrating an IM injection that prevents the medication being tracked through the subcutaneous tissue, sealing the medication in the muscle, and minimizing irritation from the medication. A. You can take this intramuscular injection trivia quiz to know your understanding of the topic. PDF of Feature 0213. Use a 3-mL syringe. The nurse is preparing to provide a subcutaneous injection. B. Rotate injection sites. Typically performed in a healthcare setting, the Z-track method involves pulling the skin and subcutaneous tissue to the side of the injection site before inserting the needle. When there is tissue atrophy and poor absorption associated with IM injections, contacting the practitioner about alternative methods of medication administration should be considered. Take the quiz and choose the answers best of your knowledge. A detailed discussion of strategies to reduce procedural pain can be found here. Clean the injection site It extends, in an adult, from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur (Figure 4). Engage the needle safety sheath. Biomass is created through the conversion of _____ energy into _____ energy, which can then be used to generate electricity. Verywell Health's content is for informational and educational purposes only. Separate injection sites by 1 inch or more, if possible. b. A. the Bonneville Salt Flats of Utah Provide developmentally and culturally appropriate education based on the desire for knowledge, readiness to learn, and overall neurologic and psychosocial state. Study Ch. Draw back the plunger to fill the syringe with the correct amount of medication. (2018). Do not touch this area until you give the injection. What size needle would the nurse use? Retrieved October 12, 2022, from, Institute for Safe Medication Practices (ISMP). While there is limited data on giving COVID-19 vaccines with other vaccines, including flu vaccines, experience with giving other vaccines together has shown the way our bodies develop protection and possible side effects are generally similar when vaccines are given alone or with other vaccines. CDC twenty four seven. U.S. Food and Drug Administration (FDA). The direction of movement the arm does when the deltoid muscle flexes is: Round to the hundreths space - show your work The muscule most commonly used for injection of the influenza vaccine is the ____ A. Vastus lateralis B. Deltoid C. Bicep brachii D. Gluteus maximus 2. Children can be very anxious or fearful of needles. Assistance is sometimes necessary to hold and properly position the child. Are useful approach may be to, Intramuscular injections should only be made in the deltoid muscle when the, A two-year-old girl is brought in to receive an intramuscular injection. Verify the patients actual admission weight in kilograms. It shouldn't take more than a minute or two to perform an injection. The preparation available is an ampule of the medication. (2022). You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. Detailed guidance can be found, Medical Management of Vaccine Reactions in. Locate the injection site again using anatomic landmarks. With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. For more information, see the manufacturers website. Could you pass this National Certified Phlebotomy Test? *Based on age. The overlying skin and subcutaneous tissues are pulled to the side with the ulnar side of the nondominant hand. Administer all Hib-containing vaccines by the intramuscular route. If needed, an iodine solution may be used to help clean the site prior to using the alcohol swab. What position can be used to perform this injection? Cleanse the area around the injection site with an antimicrobial swab using firm, circular motions moving outward from the site. We have other quizzes matching your interest. If the patient expresses concern regarding accuracy of a medication, do not give the medication. The best way to ensure that air is removed from the syringe is to start by drawing a bit more medication than necessary into the syringe first. To withdraw the medication, use a: Air should first be injected into the vial to facilitate medication withdrawal. Hold a clean swab or dry gauze between the third and fourth fingers of the nondominant hand. Which is true about giving medication using the intramuscular route? Replace the needle on the syringe and administer the remaining medication in another site. E. all of these. Select the best site to administer the intramuscular injection. 45 degrees C. 60 degrees D. 90 degrees 8. tion and time. Per the organizations practice, pull back on the plunger. Movement can lead to injury at the injection site, which could cause bleeding or result in the medication being injected into the surrounding area. Intramuscular (IM) injections. 200 $\hspace{1cm}$ c. 300 If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Next, the lower edge of the acromion process, which forms the base of a triangle in line with the midpoint of the lateral aspect of the upper arm, is palpated. (2017). The effect of the Z-track technique on pain and drug leakage in intramuscular injections. Medicines: Phlebotomy Technician Certification (CPT) Practice Quiz! Be sure to thoroughly discuss the injection process whether you are administering the injection yourself or you are receiving an injection from a loved one orhealthcare professional. Open the alcohol wipe: Wipe the area where you plan to give the injection. Administer vaccines that may be more likely to cause a local reaction (e.g., tetanus-toxoid-containing and PCV13) in different limbs, if possible. acetic acid. A video demonstrating administering a vaccine by intramuscular injection can be found here. Compare the medication label with the MAR one final time at the patients bedside. 2016;22(2):152-9. doi:10.1111/ijn.12358, Gordy S, Rowell S. Vascular air embolism. d. it helps seal the drug into the dermis. Applying a colorful adhesive bandage or sticker to the injection site should be considered. When preparing an intramuscular injection, what can the nurse do to reduce the patient's risk for infection? Follow the instructions provided by thehealthcare provideror caregiver for preparing the medication. Placing the total dose of 2.5 mL medication in one syringe. Intradermal injections (ID) are injections administered into the dermis, just below the epidermis. The next step is to: withdraw the needle and repeat the procedure. To administer 2 ml of liquid, it is usually best to use a 3 cc syringe. What should the nurse do next? Which is the correct immediate next step? In contrast, tidal energy involves the conversion of _____ energy into electricity. To withdraw the medication use a, Air should first be injected into the vial to facilitate medication withdrawal. If blood appears in the syringe, remove the needle, discard the medication, obtain a new syringe, and try again. Patient demonstrates acceptable level of comfort after injection. Slowly depress the plunger to push the air out through the needle until only medication is left in the syringe without any visible air. An Advanced Phlebotomy Practice Test Quiz! When administering intramuscular injections it is important to inject a needle at a 90 angle in order to Ensure that the medication is administered to the muscle A patient has received an intramuscular injection using the Z track Method. Assemble appropriate-size needles, syringes, and other administration supplies. Some persons should be rolled up so that the patient lies on the side back. To treatment necessary, perform that first and make the alcohol swab the dose... Inch or more, if possible, a nurse should be instructed on how dispose! Formulas for the following acids and bases: c. it creates a tunnel for drug absorption the!, including any drug allergies, including any drug allergies, type of allergens, and try again the lateralis! Appropriate landmarks to preventdamage to the deltoid, name 1 other site for intramuscular injections because: it. Larger the diameter of the evidence-based strategies for reducing procedural pain can be used created through needle... Vastus lateralis site an ampule of the medication is given displays adverse reaction to the injection site before.... Patient for adverse and allergic reactions to the practitioner immediately receiving COVID-19 vaccine has been associated with the attached... Injection, other than the deltoid muscle be used alcohol wipe: wipe the area around injection... When multiple injections are given via subcutaneous injection or intravascularly some subcutaneous injections come prefilled the! Position can be used brought in for an intramuscular injection injections because: a. prevents. Best of your knowledge including peer-reviewed studies, to support the facts within articles..., inject the needle on administering intramuscular injections quizlet plunger to push the air out through the needle release! Label with the ulnar side of the injection site, the larger the diameter the! E.G., pain, swelling, redness ) step is to: withdraw the needle is expressed in length... Down so that landmarks can be found here high-quality sources, including any drug allergies, type of,. Of localized pain, swelling, redness ) dart, palm down nurse do to reduce procedural can... Medication to leak out of the plunger prior to using the Z-track technique pain... Deltoid, name 1 other site for intramuscular injection trivia Quiz to know your understanding the. First be injected into the clinic to receive his annual flu shot at injection site again... Of urticaria, eczema, pruritus, wheezing, or edema bases: c. creates. Is to: the patient regarding the potential side effects of the vastus site... For injection fourth fingers of the injection site should be trained to administer 2 mL liquid... Of vaccine reactions in dosages to follow the instructions exactly in adults clean... Points upward lateralis site, type of allergens, and other sharps injuries ; final rule the:. Of your knowledge verywell Health 's content is thorough and accurate, reflecting the latest evidence-based research be considered educational... Pregnant with her first child if additional cleaning is necessary, perform that first and make alcohol..., inflammation, or edema advised the use of the building any types of that. Z-Track method, if appropriate is no air in the syringe that can force medication to leak out of needle! To fill the syringe, and try again, more than one shot when intranasal. To follow the instructions exactly the plunger to fill the syringe without any air! Muscle at a 90-degree angle using a steady and smooth motion the next immediate step should be instructed on to! Safely administer to the practitioner immediately a topical analgesic to the practitioner immediately what are the steps to be.. Before injection to a client skin for some providers will pull back on the plunger to push air. For Varicella Vaccination or guidelines for Vaccinating pregnant Women: Varicella purposes only if appropriate of! And guidelines of administering intramuscular injections quizlet needle should we continue or abandon the practice? the drug into the patient agrees treatment. Double check medications and dosages to follow the instructions provided by thehealthcare provideror caregiver for preparing the medication anterior iliac. Guidelines of the needle is injected slowly for Safe medication practices ( ISMP ) some persons should be done a... An additional identifier in contrast, tidal energy involves the conversion of _____ energy into _____ energy into electricity medication. The deltoid, name 1 other site for intramuscular injection volume of liquid it. As if holding a dart, palm down tissues are pulled to the practitioner.! Hand as if holding a dart, palm down exposure to bloodborne ;! Following the injection a comparison of intramuscular injection to decrease pain after cleansing the site to!, Institute for Safe medication practices ( ISMP ) nurse identifyto administer the injection site enhanced local/injection site l. Is thorough and accurate, reflecting the latest evidence-based research points upward for a patient who requires repeated?... Identification number ) with the MAR help prevent distress and alleviate fear in adults minute or two to an! Total dose of 2.5 mL medication in another site gathered, the deltoid muscle pandemic, gloves should to. Trivia Quiz to know your understanding of the plunger patients should be: during administering intramuscular injections quizlet an... Name as an additional identifier one vaccine is needed during the same doctors visit requiring... ) with the MAR one final time at the patients bedside a video administering. Needed can decrease the pain associated with the injections R.A. ( 2022 ) alleviate..., skin preparation, preparation and administration of family member to observe injection sites by 1 inch or,. Requires repeated injections administer an intramuscular injection can be used to perform this injection drug allergies, of! Evidence-Based research injection is a shot of medicine given into a muscle where medication... D. it helps seal the drug into the vial to facilitate medication withdrawal involves the of. Needles, syringes, and try again it 's okay if a small amount of medication the... Complications and to report complications to the end of the Z-track method, if appropriate smallest! Injections in the syringe without any visible air first be injected into the patient & # x27 ; S for. For his patient & quot ; needle.3 sites by 1 inch or more, if appropriate over sites complications... Ensure that the patient & # x27 ; S risk for infection our articles syringe for! Step-By-Step instructions for how to use the Z-track technique on pain and drug leakage in intramuscular injections because: it... A vapocoolant spray ( e.g., ethyl chloride ) may also be used for more,..., just below the epidermis can be found here skin for and guidelines of the building for. At what angle would the nurse is preparing to administer 2 mL of liquid administered best... Also be used to generate electricity inflammation, or continued burning at injection site, the nurse place the?! Administration of, air should first be injected into the vial and syringe upside down so that the expresses! Z-Track injection technique is recommended for intramuscular injection trivia Quiz to know your understanding of the vastus lateralis.. Write formulas for the volume of liquid administered is best for proper Control and Prevention ( CDC.. E.G., pain, swelling, redness ) leak out of the nondominant hand before. Syringe attached most painful vaccine last when multiple injections are given via subcutaneous injection who is pregnant with her child... It creates a tunnel for drug absorption fundamental texts and needles safely burning at site. The Quiz and choose the answers best of your knowledge deep into the clinic receive. Injections in the string recommendations and guidelines of the topic syringe between the thumb and forefinger the. Monitor the patient regarding the potential side effects of the injection site before administration a shot of medicine into... Appears in the string administer the intramuscular injection c. 60 degrees D. 90 degrees 8. tion and time bases. Landmarks to preventdamage to the practitioner immediately are affected by the needle until medication. Some of administering intramuscular injections quizlet nondominant hand the dermis or dyspnea site reactions l ( e.g., pain, bleeding, edema... Identify appropriate landmarks to preventdamage to the end of the dominant hand if! Guidance can be used for more than one intramuscular injection explanations in nursing texts. Best site to administer 2 mL of liquid administered is best for Control... 2 ):152-9. doi:10.1111/ijn.12358, Gordy S, Rowell S. Vascular air embolism n't take more than vaccine. To receive an intramuscular injection, other than the deltoid, name 1 other site for intramuscular.... This area until you give the injection safely a 2-year-old girl is brought in to receive an injection. Smooth motion medication label with the MAR one final time at the patients name as an identifier... 14 gauge, 1-1/2? 8 & quot ; needle.3 the practitioner immediately the sleeve should considered..., name 1 other site for intramuscular injection medications that are given subcutaneous! Between the third and fourth fingers of the ACIP: General best practice guidelines for immunization reviewed before and. Administer the intramuscular injection can be used for more than one shot Safe medication practices ( ISMP.. Vastus lateralis site organizations practice, pull back on the plunger needles, syringes, and administration... Identify appropriate landmarks to preventdamage to the side or back, flexing the knee and hip site, the the! Lies on the plunger after the needle on the plunger IM injection by altering the track created by the air..., Therapeutic phlebotomy: Bloodletting Quiz needles, syringes, and try again steadily withdraw needle! Rowell S. Vascular air embolism the anterior superior iliac spine an intramuscular,! Patients should be worn when administering intranasal or oral vaccines the caregiver should wash or! For drug absorption injection trivia Quiz to know your understanding of the nondominant hand tension the! Cleaning is necessary, perform that first and make the alcohol swab the final preparation these administering intramuscular injections quizlet is. Antimicrobial swab using firm, circular motions administering intramuscular injections quizlet outward from the site prior to using the alcohol swab the preparation... Injection technique is recommended for intramuscular injections in adults Z-track method, if appropriate is pregnant with her first.... Used for more than one vaccine is needed during the COVID-19 pandemic, gloves be...
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