The nurse is administering a tuberculin test (PPD skin test) to a client. What method would the nurse use for this type of testing?
A) Intradermal
B) Subcutaneous
C) Intramuscular
D) Intravenous
A
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Intradermal injections, often used for diagnostic testing ("skin tests"), are shallow injections given just beneath the epidermis. Subcutaneous injections are used for small amounts of medication that require slow, systemic absorption. Intramuscular injection is the best technique when medications given less deeply irritate the client's tissues or when large amounts of medication are necessary. IV fluids are administered via the circulatory system to correct or to prevent fluid and electrolyte imbalance in the client.
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A patient with an exacerbation of systemic lupus erythematosus (SLE) has been hospitalized on the medical unit. The nurse observes that the patient expresses angerand irritation when her call bell isn't answered immediately
What would be the most appropriate response? A) "You seem like you're feeling angry. Is that something that we could talk about?" B) "Try to remember that stress can make your symptoms worse." C) "Would you like to talk about the problem with the nursing supervisor?" D) "I can see you're angry. I'll come back when you've calmed down."
The nurse is caring for an adolescent with anorexia nervosa. What should the nurse include in this patient's plan of care?
1. Provide a variety of cold or room-temperature foods. 2. Serve the patient three balanced meals per day. 3. Discuss weight-gain needs with the patient. 4. Observe the patient's activities for 15 minutes after eating.
After inspecting a patient's left lower leg, the nurse leaves the patient's room and asks the charge nurse to notify the patient's healthcare provider regarding a possible arterial thrombosis. What did the nurse assess to make this decision?
Select all that apply. 1. absent pedal pulses 2. skin cold to the touch 3. +4 edema on the ankle 4. foot unresponsive to sensation 5. line of demarcation across the foot
A 4 -year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for school immunizations, which usually include the DTaP vaccine;
varicella virus vaccine (Varivax); the measles, mumps, and rubella virus (MMR) vaccine; and the inactivated poliovirus vaccine (IPV). The clinic nurse will expect to administer which vaccines to this child? a. All four school immunizations b. DTaP and IPV only c. DTaP, OPV, and Varivax only d. DTaP and IPV, along with immunoglobulins