A Nurse Administers an Intramuscular (IM) Injection Using the Z-Track

A nurse administers an intramuscular (IM) injection using the Z-track technique.  Place the steps in chronological order.  All options must be used.

A) Apply gentle pressure at the injection site but do not massage
B) Inject medication slowly with dominant hand while maintaining traction
C) Hold the skin taut with non-dominant hand and insert needle at a 90-degree angle
D) Pull the skin 1-1 ½" (2.5-3.5 cm) laterally and away from the injection site
E) Release the hold on the skin, allowing the layers to slide back to their original position
F) Wait 10 seconds after injecting the medication and withdraw the needle

Correct Answer:

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