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

Answer and Explanation

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

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Correct Answer is C

Explanation

C. anticholinergic effects include dry mouth, chewing the gum will help stimulate the salivary glands to secrete saliva.
A. Taking an antacid does not address the effects
B. Not relation with the anticholinergic effect of the drug
D. Fluphenazine cause sedation and should be taken in the morning but it does not address the anticholinergic effects

A. Alcohol increases the chance of phenytoin toxicity. B. Take an antacid with the medication if indigestion occurs. C. Avoid flossing the teeth to prevent gum irritation. D. Phenytoin turns urine blue.

Correct Answer is A

Explanation

A. alcohol interacts with phenytoin leading to CNS depression
B. Antacids reduces the oral absorption of phenytoin
C. Phenytoin causes gingival hyperplasia and the client should maintain good oral hygiene to prevent secondary infection
D. Phenytoin can turn urine red but not blue.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Correct Answer is A

Explanation

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