What steps will the nurse follow when administering a two-step purified protein derivative (PPD) tuberculin skin test to an older patient? Standard Text: Select all that apply
1. Repeat the PPD test in 1 to 2 weeks.
2. Measure the area of injection in 48 hours.
3. Measure the area of injection in 72 hours.
4. Administer 5 units of the BCG vaccination serum.
5. Administer an injection of 0.1 mL of 5 TU intradermally.
1,3,5
Rationale: When administering the two-step PPD tuberculin skin test to an older patient the nurse should administer an injection of 0.1 mL of 5 TU intradermally, measure the area of injection in 72 hours, and repeat the test in 1 to 2 weeks.
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A) Primary spontaneous pneumothorax B) Secondary spontaneous pneumothorax C) Traumatic pneumothorax D) Transudative pleural effusion
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A) Place a dry, sterile dressing over the protruding organs. B) Place a pressure dressing over the opening and secure. C) Have the client lay quietly on back and call the physician. D) Moisten sterile gauze with normal saline and place on any organ.
Your patient is 9 months pregnant and is anxious to deliver her baby. Using the Doppler, you best hear the fetal heart tones above her umbilicus and note that the rate is 150 . These findings may indicate
a. a breech presentation. c. immaturity of the fetal nervous system. b. fetal distress. d. possible heart block.
Individuals with lactose intolerance may tolerate foods that contain small amounts of lactose if they are
a. consumed with other foods. b. well cooked rather than raw. c. consumed with foods that contain vitamin D. d. derived from goat's milk rather than cow's milk.