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    ATI RN Pharmacology 2023 proctored exam

    A nurse is preparing to administer an intradermal injection for a tuberculin screening. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

    Explanation & Rationale

    C. Cleanse the skin using a circular motion: Cleaning the site first prevents infection and prepares the area for safe injection. Using a circular motion from the center outward helps remove microorganisms without contaminating the injection site. E. Hold the needle with the bevel facing up: Positioning the needle bevel up ensures a smoother entry into the dermis and reduces tissue trauma, which is important for accurate intradermal administration. A. Insert the needle into the dermis layer of skin: The needle is inserted at a very shallow angle into the dermis. Proper placement is essential for the tuberculin test to produce a valid reaction. B. Inject the medication slowly with the skin pulled taut: Slowly injecting the medication ensures it remains in the dermis and prevents leakage into subcutaneous tissue. Pulling the skin taut stabilizes the area and allows for precise administration. D. Produce a small wheal on the surface of the skin: The appearance of a small, raised wheal confirms that the medication has been correctly administered intradermally. This wheal is necessary for the subsequent reading of the tuberculin test.

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