The nurse is administering a skin test for detection of exposure to tuberculosis. How would the nurse determine if the client was exposed to tuberculosis?
A) The client will have a productive cough.
B) The injection area swells if the client has developed antibodies against the antigen.
C) The injection area will become painful with induration if the client has antibodies against the antigen.
D) The injection area will break out in a fine macular rash.
B
Feedback:
The injection area swells if the client has developed antibodies against the antigen. The client is not necessarily actively infectious if the test results are positive. Although a productive cough is one of the symptoms of active tuberculosis, it may also indicate other diseases and disorders. The area should not be painful, and the client should not break out with a rash.
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1. blood pressure in the aorta 2. blood vessel dilation 3. low-pressure systemic circulation 4. draining of blood into the coronary sinus by the coronary veins
At which auscultatory site would S1 best be heard?
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Which of the following is true concerning BP?
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While making rounds, the charge nurse observes a staff nurse cleaning a surgical wound and notes that the staff nurse has cleaned the wound from the top to the bottom of the wound. Which action should the charge nurse take in this situation?
A. Request the staff nurse clean the wound again using a circular motion and cleaning from outside the wound to the wound itself. B. Make arrangements for the staff nurse to visit the education department for retraining in wound cleaning. C. Continue with rounds with the knowledge that the staff nurse used the proper cleaning technique. D. Inform the staff nurse that the charge nurse will be observing the client for signs of infection.