A nurse is planning care for an asymptomatic child with a positive tuberculin test. The nurse should include which in the plan? Select all that apply
a. Administration of daily isoniazid (INH)
b. Instructing family members about administration of isoniazid (INH) to all close contacts of the child
c. Administration of the Bacillus Cal-mette-Guérin vaccine
d. Reporting the case to the Health Department
e. Administration of isoniazid (INH) and rifampin (Rifadin) simultaneously
A, B, D
After a chest radiograph is obtained, asymptomatic children with positive tuberculin tests and no previous history of TB receive daily isoniazid (INH) for 9 months. Asymptomatic contacts should receive INH for at least 8 to 10 weeks after contact has been broken or until a negative skin test can be confirmed (a second test is taken at least 10 weeks after the last exposure). Reporting cases of TB is required by law in all states in the United States. The Bacillus Calmette-Guérin vaccine is the only anti-TB vaccine available, but it is given only to children who test negative. For asymptomatic TB only isoniazid is administered, not both isoniazid and rifampin together. Rifampin is used if the child has resistance to isoniazid.
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A nursing instructor is teaching about the DSM-5 diagnosis of depersonalization-derealization disorder (D-DD). Which student statement indicates a need for further instruction?
1. "Clients with this disorder can experience emotional and/or physical numbing and a distorted sense of time." 2. "Clients with this disorder can experience unreality or detachment with respect to their surroundings." 3. "During the course of this disorder, individuals or objects are experienced as dreamlike, foggy, lifeless, or visually distorted." 4. "During the course of this disorder, the client is out of touch with reality and is impaired in social, occupational, or other areas of functioning."
A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is started. What is the primary goal for magnesium sulfate therapy?
A) Decrease blood pressure B) Decrease protein in urine C) Prevent maternal seizures D) Reverse edema
When measuring a rectal temperature in a child, the thermometer should be inserted
A) 1/4 inch. B) 1/2 inch. C) 1inch. D) 2 inches.
Discuss the importance of patient education in the appropriate use of vitamin and mineral supplementation.
What will be an ideal response?