After administering an intradermal (ID) injection for a skin test, the nurse notices a small bleb at the injection site. Which of these is the best action for the nurse to take at this time?
Do nothing
Report the bleb to the physician.
Massage the area
Apply heat
The Correct Answer is A
A. It is expected and should be observed for reaction

B. Reporting is not necessary as it is expected
C, D. Massaging the area or applying heat interferes with the test results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
Volume (mL)= Ordered dose (mg)/ Concentration (mg/mL)
Correct Answer is ["B","C","D","E"]
Explanation
Vancomycin is nephrotoxic and ototoxic and any ear fullness and rising serum creatinine levels should be reported. It also has a narrow therapeutic levels of 10-20mcg/ml and levels above that should be reported. The drug should be administered over 60 mins to prevent red man syndrome
A- Being nephrotoxic, restricting fluid intake could increase risk of renal damage
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