When administering an intramuscular (IM) injection to a client with gonorrhea, the nurse should take the following action:
c. Administer the medication with a 27-gauge 1/2-inch needle.
The choice of needle gauge and length is appropriate for IM injections, providing adequate penetration into the muscle while minimizing discomfort. A 27-gauge needle is commonly used for IM injections, and a 1/2-inch length is suitable for most adult clients.
Aspiration (a process of pulling back on the syringe plunger after inserting the needle to check for blood return) is not necessary for IM injections. It is typically recommended for intravenous injections to ensure the needle is not in a blood vessel. However, for IM injections, the nurse can proceed with the injection without aspirating.
The location for an IM injection may vary depending on the specific medication being administered. However, in general, injections should be given at least 2.5 cm (1 inch) away from the umbilicus (belly button). Therefore, option b is not correct.
The Z track technique is a method used to minimize medication leakage into the subcutaneous tissue by pulling the skin laterally during needle withdrawal. This technique is commonly used for medications that are known to cause irritation or staining. However, it is not necessary for a client with gonorrhea, so option d is not correct.
In summary, option c is the appropriate action to take when administering an IM injection to a client with gonorrhea.