What steps will the nurse follow when administering a two-step purified protein derivative (PPD) tuberculin skin test to an older client? Select all that apply.
1. Repeat the PPD test in 1 to 2 weeks.
2. Ask the client about exposure risks.
3. Measure the area of injection in 72 hours.
4. Administer 5 units of the BCG vaccination serum.
5. Give an injection of 0.1 mL of 5 TU intradermally.
1. Repeat the PPD test in 1 to 2 weeks.
2. Ask the client about exposure risks.
3. Measure the area of injection in 72 hours.
5. Give an injection of 0.1 mL of 5 TU intradermally.
Explanation: 1. When administering the two-step PPD tuberculin skin test to an older client the nurse should administer an injection of 0.1 mL of 5 TU intradermally, measure the area of injection in 72 hours, and repeat the test in 1 to 2 weeks.
2. Part of administering the test is obtaining answers to basic questions about exposures. This includes working in a healthcare environment and travel to areas such as eastern Europe or Latin America.
3. When administering the two-step PPD tuberculin skin test to an older client the nurse should administer an injection of 0.1 mL of 5 TU intradermally, measure the area of injection in 48-72 hours, and repeat the test in 1 to 2 weeks.
4. When administering the two-step PPD tuberculin skin test to an older client the nurse should administer an injection of 0.1 mL of 5 TU intradermally, measure the area of injection in 72 hours, and repeat the test in 1 to 2 weeks. The BCG vaccination is an anti tuberculosis vaccination that is often not used in the United States. It is not injected to test for tuberculosis.
5. When administering the two-step PPD tuberculin skin test to an older client the nurse should administer an injection of 0.1 mL of 5 TU intradermally, measure the area of injection in 72 hours, and repeat the test in 1 to 2 weeks.
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