A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?

Inject 0.3 to 0.5 mL of the solution.

Select an injection site that is free of scar tissue.

Hold the needle at a 30° angle during injection.

Massage the site following the injection.

Answer and Explanation

The Correct Answer is B

A. Inject 0.3 to 0.5 mL of the solution: The typical volume for a tuberculin skin test is 0.1 mL.
B. Select an injection site that is free of scar tissue: Scar tissue can interfere with the reading of the tuberculin skin test, so a site free of scars should be selected.
C. Hold the needle at a 30° angle during injection: The needle should be held at a 5–15° angle for intradermal injections.
D. Massage the site following the injection: Massaging the site is not recommended as it could affect the accuracy of the test.

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Correct Answer is C

Explanation

A. "Your child will receive another MMR immunization and the hepatitis B immunization at 3 years of age.": The next MMR immunization is typically at 4-6 years, not 3 years.
B. "Your child will receive two more MMR immunizations over the next 2 years.": Only one more MMR vaccine is given at 4-6 years of age.
C. "Your child will receive another MMR immunization at 4 to 6 years of age.": The second dose of MMR is given between 4-6 years of age.
D. "Your child will have an MMR titer taken to determine the need for further immunizations.": Routine titers are not required for MMR unless there is a specific concern.

A. Tremors B. Anorexia C. Drowsiness D. Hypotension

Correct Answer is A

Explanation

A. Tremors: Benzodiazepine withdrawal commonly presents with tremors, anxiety, agitation, insomnia, and in severe cases, seizures.
B. Anorexia: While appetite changes may occur during withdrawal, it is not the primary manifestation.
C. Drowsiness: Drowsiness is more commonly associated with the sedative effects of diazepam rather than its withdrawal.
D. Hypotension: Withdrawal from diazepam is more likely to cause hypertension and tachycardia due to autonomic hyperactivity.

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A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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