Which of the following is a true statement about tuberculosis (TB) in older adults?
a. The principal threat from TB is its highly contagious nature.
b. The tuberculin purified protein derivative (PPD) is a conclusive test for TB.
c. Antimicrobial drugs have made TB an infection of the past.
d. Older persons, particularly those in nursing homes, are at risk for TB.
D
Most reported cases of TB among older adults are from nursing homes. TB is not as contagious as formerly suggested, but drug-resistant forms exist and are a serious risk for older adults who are immunocompromised. A PPD test has a false-negative rate of approximately 30%. When the result is positive, the patient receives a sputum culture and a chest x-ray examination. A positive sputum culture is necessary to confirm the diagnosis. Although medications such as isoniazid (INH) were thought to have eliminated TB, the organism is still present in multidrug-resistant forms. Older adults who contracted TB before the 1940s may suffer reactivation of the bacte-rium.
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A patient on chemotherapy has a platelet count of 3000/mm3 . When the patient complains of joint pain, the nurse should give which instruction?
a. Take two regular-strength aspirin. b. Take two over-the-counter–strength ibuprofen tablets. c. Take two prescription-strength ibuprofen tablets. d. Take two acetaminophen tablets.
A patient's feet appear to be edematous, so the nurse first
1. Charts, "Patient's feet appear to be swollen." 2. Percusses the tissue that appears edematous. 3. Applies pressure over a bony prominence of the foot for 2 seconds. 4. Elevates the patient's feet on a pillow to decrease swelling.
The standard of care and recommendation by the Centers for Disease Control is to administer an immunization to all newborns. Which immunization is recommended to be administered prior to discharge?
A) DTaP B) Hep B C) Prevnar D) HiB
A nurse is caring for a client who has been allowed to get out of bed and move around with assistance. Which should the nurse keep in mind when assisting the mobile client out of bed?
A) Offer pain relief after ambulating if the client complains of pain when walking. B) Assist with range-of-motion exercises just before the client gets out of bed. C) Ask the client to perform isometric exercises just before getting up. D) Check the physician's order to determine the prescribed level of activity.