NURS 3100 Exam 1 Practice

A charge nurse is observing a nurse administer an intradermal injection. Which of the following demonstrates that the nurse is using correct technique?

1. Inserts the needle with the bevel down at a 10-15 degree angle.

2. Selects a 1" 23 gauge needle with a 3 mL syringe.

3. Slowly inject the medication to form a small wheal or bleb.

4. Withdraws the needle and gently massages the injection site.

The correct answer is: Slowly inject the medication to form a small wheal or bleb.

To correctly administer an intradermal injection, the nurse should slowly inject the medication to form a small wheal or bleb, which indicates that the medication has been deposited into the skin layer. The other options are incorrect because Option A: Inserts the needle with the bevel down at a 10-15 degree angle - This is incorrect because the needle should be inserted with the bevel up at a 10-15 degree angle to create a small bump on the surface of the skin, not with the bevel down. Option B: Selects a 1" 23 gauge needle with a 3 mL syringe - This is incorrect because the appropriate needle for intradermal injections is typically a shorter and thinner gauge needle, such as a 25-27 gauge. A 1" 23 gauge needle is too large and may cause discomfort and unnecessary tissue damage. Additionally, a syringe with a smaller volume, such as 0.1-1 mL, is typically used for intradermal injections. Option D: Withdraws the needle and gently massages the injection site - This is incorrect because the needle should be left in place for a few seconds to allow the medication to be absorbed. Massaging