A nurse is performing an allergy skin test for a client who has flu-like symptoms since recently adopting a cat. What guidelines should the nurse follow when performing a skin test to determine sensitivity?
A) Choose an injection site that is taut and heavily pigmented.
B) Withdraw the needle at the same angle at which it was inserted.
C) Place the needle, bevel down, on the skin surface at about a 45-degree angle.
D) Ask the client to rub the insertion site after withdrawing the needle.
B
Feedback:
The nurse should withdraw the needle at the same angle at which it was inserted, to minimize skin damage. The skin over the injection site should be taut, but not heavily pigmented because it may interfere with assessment of the site after injection. The nurse should place the needle, bevel down, on the skin surface at approximately a 10-degree angle, not at a 45-degree angle. The nurse should instruct the client not to rub the site because this increases absorption, and intradermal medications are to be absorbed slowly.
You might also like to view...
A 19-year-old Native American client is admitted with a diagnosis of major depression with suicidal ideation. What assessment is made?
1. The client is at high risk for suicide. 2. The client will benefit from a talking circle. 3. The client will need a single room. 4. The client will need a medicine man.
A nurse gives a hand-off report to the oncoming staff nurse. Which type of communication does this illustrate?
a. Gossip b. Validation c. Interpersonal d. Intrapersonal
Persons experiencing panic-level anxiety may act impulsively and risk their safety. Which of the following interventions ensures the safety of clients with anxiety?
A) The nurse remains composed to help such individuals reduce anxiety. B) The nurse ensures that the client interacts with more than one nurse. C) The nurse touches the client and gets physically close to him or her. D) The nurse ensures that the client responds to many sources of stimulation.
An agonist activates a receptor and stimulates a response. When given frequently over time, the body may:
1. Upregulate the total number of receptors 2. Block the receptor with a partial agonist 3. Alter the drug's metabolism 4. Downregulate the numbers of that specific receptor