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A nurse administers an intramuscular (IM) injection using the Z-track method. Place the steps in chronological order 1. Apply gentle pressure at the inj site but do not massage2. Inject medication slowly with dominant hand while maintaining traction3. Hold the skin taut with non-dominant hand while maintaining traction4. Pull the skin 1-1 1/2" inches laterally and away from the injection site5. Release the hold on the skin, allowing the layers to slide back to their original position6. Wait 10 seconds after injecting the medication and withdraw the needle
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