A healthcare worker who is asymptomatic has a screening TST result of 10 mm of induration during a pre-employment physical. What will the nurse reading this test tell the patient?
a. "This is a negative test, so you are cleared for employment."
b. "You have latent TB and will need to take isoniazid for 6 to 9 months."
c. "You need to have a chest radiograph and a sputum culture."
d. "You will begin taking a four-drug regi-men to treat tuberculosis."
C
This patient has a moderate risk and a positive skin test result. Before beginning treatment for latent TB, active TB must be ruled out with chest X-rays and sputum cultures. This is not a nega-tive test result in a moderate-risk individual. Latent TB needs to be confirmed with diagnostic testing. Treatment will not begin until tests have confirmed the diagnosis.
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An older male adult has myasthenia gravis and lives with his wife. Which patient charac-teristics should the nurse use to identify areas for nursing care in the disability assessment of this man?
a. Manages his finances successfully b. Lives in an adults-only community c. Walks around the house for exercise d. Health care provided through Medicare e. Has history of peptic ulcer disease f. Wife in good health, has poor eyesight
The nurse is caring for a client from Canada who has come to the U. S. for a serious neurological surgery. The nurse concludes that the client came to the U.S. because the client feels care will be better in the U.S. when the client states:
1. "I am a fan of the universality of the health system.". 2. "It is a good thing that there is very little competition in my country.". 3. "I respect the fact that Americans have a choice of health care.". 4. "I am in favor of rationing to bring down health costs.".
The risk of regurgitation is greatest with:
a. Naso-intestinal tubes b. PEG tubes c. Jejunostomy tubes d. Gastrostomy tubes
After teaching a class about humoral and cellular immunity, the nurse recognizes that the additional teaching is needed when the class states that:
A) humoral immunity crosses the placenta. B) cellular immunity involves the T lymphocytes. C) cellular immunity recognizes antigens. D) humoral immunity does not destroy the foreign cell.