The nurse is preparing to administer an intradermal injection to an adult patient. Which action should be taken by the nurse?
a. Use a tuberculin syringe with a 1-inch 25-gauge needle.
b. Inject no more than 1 mL of solution at one site.
c. Insert the needle at a 5- to 15-degree angle 3 finger widths below the antecubital space.
d. Expect a bleb and a small amount of bleeding after injection.
C
The angle of insertion for an intradermal injection is 5 to 15 degrees. If possible, the site should be 3 to 4 finger widths below the antecubital space and one hand width above the wrist. To administer an injection intradermally, use a tuberculin or small syringe with a short (3/8 to 5/8 inch), fine-gauge (25 to 27) needle. Inject only small amounts of medication (0.01 to 0.1 mL) intradermally. If a bleb does not appear, or if the site bleeds after needle withdrawal, the medication may have entered subcutaneous tissue. In this situation, skin test results will not be valid.
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