NursingPlex
    Sign In
    Hesi pharmacology proctored exam

    The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

    Explanation & Rationale

    A. Massage the site gently after injection: Massaging an intradermal injection site can disperse the medication into subcutaneous tissues, altering absorption and interfering with accurate test results, such as for allergy or tuberculosis screening. B. Hold the syringe perpendicular to the skin: Intradermal injections are given at a 5–15° angle, not 90°, to ensure the medication is deposited just beneath the epidermis. A perpendicular approach would deliver the medication too deeply into the skin layers. C. Ensure bevel of the needle is pointing up: Keeping the bevel up allows the needle to separate skin layers and create a small wheal or bleb, which is the desired result for intradermal injections. This technique ensures proper delivery into the dermis. D. Select upper arm as the injection site: While the upper arm can be used, the most common site for intradermal injections is the inner forearm, which provides a flat surface and is easily accessible for observation. The upper arm is less commonly used and generally reserved for other injection types.

    🔒 Submit your answer to reveal