A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.
Which of the following actions should prompt the charge nurse to intervene?

Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm.

Visualizing the tip of the needle under the skin.

Stretching the skin tightly before injection.

Withdrawing the needle and massages the site gently.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm is the correct procedure for a Mantoux tuberculin skin test.

Choice B rationale:

Visualizing the tip of the needle under the skin is the correct procedure for a Mantoux tuberculin skin test.

Choice C rationale:

Stretching the skin tightly before injection is the correct procedure for a Mantoux tuberculin skin test.

Choice D rationale:

Withdrawing the needle and massaging the site gently is incorrect. Massaging the site can cause the test solution to disperse, which can affect the test results.

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Free Nursing Study Resources

Correct Answer is ["1128"]

Explanation

The correct answer is 1420 mL.

Calculation:

Convert all intake to mL:

4 oz soda = 118 mL
12 oz water = 355 mL
1 cup gelatin = 237 mL
1/2 cup broth = 118 mL
300 mL IV fluid = 300 mL

Add all intake: 118 mL + 355 mL + 237 mL + 118 mL + 300 mL = 1128 mL

A. Place the client in a modified Trendelenburg position. B. Apply pressure directly to the wound. C. Elevate the extremity. D. Apply a tourniquet just above the wound.

Correct Answer is B

Explanation

Choice A rationale:

Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.

Choice B rationale:

Applying direct pressure to the wound is the first action to take to control bleeding.

Choice C rationale:

Elevating the extremity can help control bleeding, but it is not the first action to take.

Choice D rationale:

Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.

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A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.Which of the following actions should prompt the charge nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1128"]

Explanation

A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound.Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.
Which of the following actions should prompt the charge nurse to intervene?