The newly employed nurse received a bacillus Calmette-Guérin (BCG) vaccine before moving to the United States. The nurse needs to receive a tuberculin (TB) test as part of the pre-employment physical. What does the nurse do?
a. The nurse should not receive the tubercu-lin test.
b. The nurse will need a two-step TB test.
c. The nurse will need a chest x-ray instead.
d. A physician should examine the nurse before the TB test is given.
C
The bacillus Calmette-Guérin (BCG) vaccine contains attenuated tubercle bacilli and is used in many countries to produce increased resistance to TB. The nurse will have a positive skin test. The client should be evaluated for TB with a chest x-ray. A physician examination is not neces-sary.
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