Difficulty: Medium
Average Score: 86%
Simulated
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?
Correct answer
A
Rationale
The correct answer is A: Do nothing. When administering an ID injection for a skin test, a small bleb at the injection site is a normal expected response. The nurse should not intervene as the bleb will resolve on its own. Reporting to the physician (B) is unnecessary as it is a common occurrence. Massaging the area (C) can cause irritation and spread the medication. Applying heat (D) can also exacerbate the reaction. Therefore, the best course of action is to simply monitor and document the bleb without intervention.