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?
Select an injection site that is free of scar tissue.
Massage the site following the injection.
Hold the needle at a 30 angle during injection
Inject 0.3 to 0.5 mL of the solution.
The Correct Answer is A
A. When administering a TST, the nurse should select an injection site that is free of scar tissue and areas with excessive hair, veins, or visible lesions. The preferred site for TST administration is the volar aspect of the forearm, approximately 2-4 inches below the elbow.
B. After administering the TST, the nurse should not massage or manipulate the injection site. Massaging the site can cause irritation or spread the solution, leading to inaccurate results.
C. he TST is administered intradermally, typically with a 27-gauge needle. The needle should be inserted with the bevel facing upward at a 5-15-degree angle.
D. The standard dose of tuberculin solution (e.g., purified protein derivative, PPD) for a TST is 0.1 mL containing 5 tuberculin units (TU).
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Related Questions
Correct Answer is D
Explanation
D. One of the primary requirements of the iPledge program for sexually active females of childbearing potential is the use of two forms of contraception simultaneously, beginning one month before starting isotretinoin therapy, throughout therapy, and for one month after discontinuation of therapy. This is to ensure effective contraception and prevent pregnancy due to the teratogenic effects of isotretinoin.
A. While mammograms are important screening tests for breast cancer, they are not a requirement of the iPledge program for female clients receiving isotretinoin.
B. Papanicolaou (Pap) tests, which screen for cervical cancer, are not a requirement of the iPledge program. However, sexually active females of childbearing potential must have monthly pregnancy tests and must agree to use two forms of contraception simultaneously during isotretinoin therapy.
C. There is no requirement for clients to take a daily supplement of vitamin A prior to initiating isotretinoin therapy as part of the iPledge program.
Correct Answer is A
Explanation
A. Furosemide can decrease the renal clearance of lithium, leading to increased lithium levels in the blood. This can potentiate the toxic effects of lithium, such as neurotoxicity and cardiac toxicity. Therefore, concurrent use of furosemide and lithium is generally contraindicated, and caution is advised. The nurse should identify lithium carbonate as contraindicated in this scenario.
B. Albuterol is a bronchodilator commonly used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). There are no significant contraindications between albuterol and furosemide.
C. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. There are no significant contraindications between levothyroxine and furosemide.
D. Cetirizine is an antihistamine used to treat allergies and allergic reactions. There are no significant contraindications between cetirizine and furosemide. They are generally considered safe to use together.
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