NCLEX-PN

●​ Don gloves. ●​ Clean the site in a circular pattern. ●​ Gently pinch to form a 1-inch fat fold. ●​ Insert the needle at a 45-degree angle (or 90 degrees if unable to pinch an inch). ●​ Check for blood, slowly inject the medication, and withdraw the needle. ●​ Cover the site and dispose of the needle and syringe properly. Intramuscular Route Administration ●​ Intramuscular sites include the gluteus maximus, deltoid, vastus lateralis, rectus femoris, and ventrogluteal muscles. ●​ Select the appropriate site using landmarks. ●​ Don gloves. ●​ Clean the site in a circular pattern. ●​ Insert the needle at a 90-degree angle, check for blood, inject the medication, and withdraw the needle. ●​ Cover the site, massage gently, and dispose of the needle and syringe. Z Track Intramuscular Injections ●​ Z-track injections prevent skin staining and ensure complete intramuscular medication administration. ●​ Select the appropriate site. ●​ Don gloves. ●​ Pull the skin to the side, inject the medication into the muscle, release the skin, and avoid massaging. Intravenous Route Bolus Administration (IV Push)

For IV push without an existing line: ○​ Select the largest suitable vein. ○​ Don gloves. ○​ Apply a tourniquet, locate the vein, and insert the needle. ○​ Check for blood flow, remove the tourniquet, and inject the medication.

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