MC A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test include
A. The client must return within 24 to 36 hours to have the test assessed.
B. An induration area of 10 mm or more is considered positive in this client.
C. An induration area of 15 mm or greater is significant in this client.
D. A positive reaction to the skin test is based upon redness around the injection site.
B. An induration area of 10 mm or more is considered positive in this client.
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The OR nurse is taking the patient into the OR when the patient informs the operating nurse that his grandmother spiked a 104°F temperature in the OR and nearly died 15 years ago. What relevance does this information have regarding the patient?
A) The patient may be experiencing presurgical anxiety. B) The patient may be at risk for malignant hyperthermia. C) The grandmother's surgery has minimal relevance to the patient's surgery. D) The patient may be at risk for a sudden onset of postsurgical infection.
The nurse is providing instruction to the parents of a 7-month-old infant who has just been diagnosed with hearing loss. What guidance should the nurse provide?
A) Hearing loss is not serious until 1 year of age. B) Interventions to support hearing are not useful until the child is at least 9 months old. C) Expect that your child will be enrolled in a special hearing intervention program immediately. D) Keep your child in a quiet environment until additional testing is done.
A finding associated with recurrent male genital herpes is:
a. disseminated lymphadenopathy. b. pain subsiding with scrotal elevation. c. soft, red papules on the prepuce. d. superficial penile vesicles.
A 30-year-old multiparous woman has a boy who is 2½ years old, and now an infant girl. She tells the nurse, "I don't know how I'll ever manage both children when I get home."
Which suggestion would best help this woman decrease sibling rivalry? 1. Tell the older child that he is a big boy now and should love his new sister. 2. Let the older child stay with his grandparents for the first 6 weeks to allow him to adjust to the newborn. 3. Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him. 4. Realize that the regression in habits and behaviors in the older child is a typical reaction and that he needs extra love and attention at this time.