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The nurse is preparing an IM injection of hydroxyzine (Vistaril) that is especially irritating to subcutaneous tissue. To prevent "tracking" of the medication and irritation to the tissues, it is best to take which of the following actions?

1. Use a small-gauge needle
2. Administer at a 45-degree angle
3. Apply ice to the injection site
4. Use the z-track technique

Explanation

Z-track technique prevents "tracking" and is used for administering medications that are especially irritating to subcutaneous tissue. With z-track, the skin is pulled approximately 1 inch laterally away from the injection site, the medication is injected, the needle withdrawn and the tissue released. The other answers are incorrect. Note the use and emphasis on "tracking." Prevention of tracking is accomplished by z-track method.

Contributor

Andrew
Member since: April 2011
(Boynton Beach,FL) Original question source

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