Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

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How far should the skin and subcutaneous tissue be pulled when using the Z-track method for intramuscular injections?

  1. 0.5 to 1.0 cm

  2. 1.0 to 2.0 cm

  3. 2.5 to 3.5 cm

  4. 3.5 to 4.5 cm

The correct answer is: 2.5 to 3.5 cm

For the Z-track method of intramuscular injection, pulling the skin and subcutaneous tissue 2.5 to 3.5 cm is appropriate because this technique helps to prevent the medication from leaking into the subcutaneous tissue, which can occur if the needle is removed after injection. This method creates a zigzag path that acts as a seal, minimizing irritation and ensuring that the medication is deposited deeply within the muscle. By pulling the skin and subcutaneous tissue this amount, the administrator ensures that the muscle layer is adequately accessed, allowing for proper deposition of larger volume injections. This is particularly beneficial for medications that can irritate tissues or for those that require deep administration. The specified distance aids in the formation of this zigzag path, contributing to the overall effectiveness and comfort of the injection process.