The nurse at a public health clinic is working with some students on rotation through the clinic. The nurse asks the students, "How is a definitive diagnosis of tuberculosis made?"
The students would be correct to respond that a definitive diagnosis of tuberculosis is made by which of the following means? (Select all that apply.)
a. Tuberculin skin testing
b. Chest radiographs (x-ray films)
c. Microscopic examination of sputum
d. Chronic cough
e. Night sweats
ANS: B, C
Definitive diagnosis of TB is made by chest radiographs and microscopic examination of the sputum.
TB skin testing, a chronic cough, and night sweats are not definitive and may not even be related to TB.
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A community health nurse is providing immunizations to schoolchildren at a local health department. At which age would the nurse expect to administer the first dose of human papillomavirus (HPV) vaccine?
A) 9 B) 11 C) 13 D) 15
Which of the following activities would a parish nurse least likely provide?
a. Counseling c. Screening b. Education d. Home health care
The Joint Commission supports the client's right to pain management, and published standards for assessment and management of pain in hospitals, ambulatory care settings, and home care settings (Joint Commission, 2008b)
Which of the following are recommended guidelines for pain management? Select all that apply. A) Teach all clients to use a pain rating scale. B) Determine a pain-rating goal with each client. C) Use pharmacologic pain relief measures first. D) Manipulate factors that affect the pain experience. E) Keep the primary care provider in charge of all pain relief measures.
An individual who has a panic disorder might describe
1. An incident of sudden onset of racing heart, dizziness, chest pain, shaking and choking, and a feeling that he or she is going to die. 2. Insomnia because of recurring dreams following a serious accident. 3. Persistent headaches, queasiness, and vague muscle pain associated with doing something unpleasant or disagreeable. 4. Repeated frightening thoughts that result in an urge to perform a simple task multiple times.