A nurse is administering an intradermal injection to a patient. Which statements are correct? Select all that apply.
A depressed area around the injection sites indicates a positive reaction.
After the insertion of the needle, a healthcare provider should aspirate for a blood return.
The needle is inserted with the bevel of the needle upward at a 10- to 15-degree angle.
The inner arm or upper back are the preferred sites.
Correct Answer : C,D
These statements are correct because they follow the guidelines for intradermal injections, which are used for skin testing, such as for allergies or tuberculosis. Intradermal injections are given into the dermis, which is the layer of skin below the epidermis.
The needle is inserted with the bevel of the needle upward at a 10- to 15-degree angle to ensure that the medication is delivered into the dermis and not into the subcutaneous tissue or the epidermis. The bevel is
the slanted part of the needle tip that creates a sharp point. Inserting the needle with the bevel upward also reduces tissue trauma and bleeding.
The inner arm or upper back are the preferred sites for intradermal injections because they have thin skin and minimal hair, which makes it easier to see and measure any reactions. The inner arm is usually used for adults, while the upper back is used for children.
The other statements are not correct because they do not apply to intradermal injections or they contain false information.
a. A depressed area around the injection sites indicates a positive reaction. This statement is false because a depressed area, also known as induration, indicates a negative reaction. A positive reaction is indicated by a raised area, also known as a wheal, that is larger than a certain size depending on the type of test.
b. After the insertion of the needle, a healthcare provider should aspirate for a blood return. This statement does not apply to intradermal injections because aspiration is not necessary for this type of injection. Aspiration is the process of pulling back on the plunger of the syringe to check for blood in the needle before injecting the medication. This is done to avoid injecting into a blood vessel, which can cause adverse effects or reduce the effectiveness of the medication. However, intradermal injections are given into very superficial layers of skin where there are no blood vessels, so aspiration is not required.
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Related Questions
Correct Answer is B
Explanation
To find the milliliters per dose, you need to use the formula for dosage calculation:
Volume (mL) = Dose ordered (mg) / Concentration (mg/mL) x Volume available (mL)
Since the dose ordered is 0.5 grams, the concentration is 125 mg/5 mL, and the volume available is 5 mL, plug in these values into the formula:
Volume (mL) = 0.5 grams / 125 mg/5 mL x 5 mL
However, before you can simplify and solve for the volume, you need to convert the dose from grams to milligrams by multiplying by 1000:
Volume (mL) = 500 mg / 125 mg/5 mL x 5 m
Simplify and solve for the volume:
Volume (mL) = 20 mL
Therefore, the nurse should administer **20 mL** of Amoxil per dose to the patient.
Correct Answer is A
Explanation
Insulin is a hormone that helps regulate blood sugar levels. It is usually injected into the fat layer just under the skin (subcutaneous or SubQ) using a syringe and needle or a pen-like device². Insulin syringes are marked in units of insulin, not milliliters or cubic centimeters. The most common insulin syringe holds 1 mL of fluid and has markings for 100 units of insulin². A U-100 syringe means that for every 1 mL of fluid, there are 100 units of insulin³.
To administer 14 units of insulin, you would need to draw up 0.14 mL of fluid in a U-100 syringe. You would inject the insulin into your abdomen, upper arm, butocks, hip, or the front or side of the thigh¹. You would use a different area within the site each time you inject insulin to prevent lumps, swelling, or thickened skin¹.
The other options are incorrect because:
b) There is no need to divide the dose into two injections. This would increase the risk of infection and pain.
c) A tuberculin syringe is not designed for insulin administration. It is marked in milliliters or cubic centimeters, not units of insulin. Using a tuberculin syringe could result in an incorrect dose of insulin.
d) The timing of insulin administration depends on the type and duration of insulin. Some insulins are taken before meals, some are taken after meals, and some are taken once or twice a day. The primary healthcare provider should specify when to take the insulin.
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