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It is important that the man 2 TB skin test be done correctly and read accurately it takes practice to be good at doing this your skill in administering the test reading the results in responding appropriately are important to the control of tuberculosis prepare for the test by gathering the necessary supplies and equipment meet with the client to explain the test obtain informed consent and make certain there are no contraindications to giving the test answer any questions and ensure the client can return within 48 to 72 hours to have the skin test read begin with hand hygiene then check tuberculin has been stored according to guidelines and has not expired draw up exactly 0.1 milliliters of tubercular clean the injection site with an alcohol swab and let dry with the bevel of the needle facing up insert the needle at a 15-degree angle just below the surface of the skin you will feel some resistance as the tuberculin is injected placed correctly the injection will produce a wheel 6 to 10 millimeters in diameter if a wheel this size does not appear the test must be repeated 5 to 10 centimeters from the first site or on the opposite arm dispose of the needle in a biohazard container gently dab any blood with a cotton ball do not press on the wheel and do not cover the site with a band-aid remove gloves perform hand hygiene and complete required documentation observe the client for 15 minutes for possible allergic reaction read the TV skin tests 48 to 72 hours after tuberculosis is administered begin with hand hygiene under good lighting examine the clients arm lightly palpate the site to feel for a hard raised and dense area of swelling or in duration if now document as zero millimeters if in duration is found locate the edges of the in duration on the transverse axis of the arm the same direction as the watch band use a ballpoint pen held to a 45-degree angle to mark the outer edges of the in duration the pen will stop at the edge of the in duration use a caliper ruler to measure the diameter of the in duration document in millimeters of induration redness can occur with or without induration and is not included in the measurement document any blistering with or without in duration this may indicate an allergic sensitivity caution is advised regarding subsequent testing complete documentation of the skin test result provide a record for the client if appropriate advise client of any next steps this chart helps to determine a positive result and therefore reportable to public health staff will consult with you regarding the significance of the reading in duration of 0 to 4 millimeters is considered positive if the client has HIV infection with immune suppression and the likelihood of TB infection is high for example the client is from a population with a high prevalence of TB infection is a close contact of an active contagious case or has an abnormal chest x-ray of 5 to 9 millimeters is considered positive if the client has HIV infection is a...
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