After receiving the subcutaneous Mantoux skin test, a pt with no risk factors returnd to the clinic in required 48 to 72 hours for the test results. Which assessment finding indicted a positive test result?
a. Test are is red, warm, and tender to touch
b. Induration or a hard nodule of any size at the site
c. Infuration/hardened area measures 5 mm or greater
d. Induration/hardened area measures 10 mm or greater
Answer: d. Induration/hardened area measures 10 mm or greater
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The nurse is checking results of a neurologic assessment on a client. Abnormal results to testing of the abducens nerve indicate the client may have difficulty with:
A) chewing food properly. B) taste sensation. C) adequate tear production D) peripheral vision.
When appropriately addressing safety issues, the geriatric nurse plans the patient's care plan directed by the standard of care that requires
a. promoting both health and wellness by assuring safety. b. minimizing the patient's risk for physical injury while preserving autonomy. c. identifying safety from injury as a patient right. d. emphasizing beneficence as a an ethical standard of nursing care.
Which protein synthesis inhibitors can raise the pressure inside the brain?
a. Aminoglycosides b. Macrolides c. Lincosamides d. Tetracyclines
A patient had a stroke. The person's left side is paralyzed. Where should you place the call light?
a. On the person's left side b. On the person's right side c. Wherever you can attach it d. Attached to the person's pillow