A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:
1. The client must return within 24 to 36 hours to have the test assessed.
2. A positive reaction to the skin test is based upon redness around the injection site.
3. An induration area of 15 mm or greater is significant in this client.
4. An induration area of 10 mm or more is considered positive in this client.
Answer: 4
Explanation: 4. For persons with a high risk of disease such as those with diabetes, 10 mm ore more induration is considered positive. The skin test is read within 48 to 72 hours of administration. A positive or significant reaction is based on the degree of induration, not the redness around the site. In a person with normal immune function an area of induration of 15 mm or greater is considered significant.
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A newly appointed nurse manager has just completed education on time-management skills. Which statement would the instructor evaluate as indicating this nurse understands the basic concepts of time management?
1. "My job as a nurse manager is so dynamic that I probably will not be able to attain true time management." 2. "The key to using time management is to respect my time as well as the time of others." 3. "If I am going to be able to manage time, the hospital will need to invest in a computer-based time-management system." 4. "The most important aspect of time management for me is to manage paperwork flow."
A nurse is caring for a patient who smokes two packs a day. The nurse knows that the patient is in the contemplation stage regarding smoking cessation. What is the nurse's best response to help the patient move into the preparation stage?
a. "You need to stop smoking as soon as possible." b. "Smoking will kill you if you don't stop." c. "The negative effects of smoking can be reversed." d. "Tobacco use killed 435,000 people in 2000."
The aim to remove a disease from a large geographic area is called
1. Prevention 2. Control 3. Elimination 4. Eradication
The nurse is using the NCHS growth chart for an African-American child. Which statement should the nurse consider?
a. This growth chart should not be used. b. Growth patterns of African-American children are the same as for all other ethnic groups. c. A correction factor is necessary when the NCHS growth chart is used for non-Caucasian ethnic groups. d. The NCHS charts are accurate for U.S. African-American children.