A raised, hardened, red zone is noted around an intradermal test site. The nurse evaluates this as a(n):
A. Delayed allergic reaction
B. Positive result from skin testing
C. Normal reaction to the intradermal injection
D. Inappropriate technique that requires an incident report
B
A, B, C, and D. Raised, reddened, or hard zone around the test site indicates sensitivity to the allergen or a positive tuberculin skin test.
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A 69-year-old female responded well to inpatient treatment with a third-generation cephalosporin. After being largely symptom free for 48 hours, the woman has developed a fever of 38.6°C and an elevated white cell count
What phenomenon may account for this patient's current clinical presentation? A) The patient may be infected with microorganisms that were resistant to the cephalosporin. B) The patient may be experiencing a delayed (type IV) hypersensitivity reaction to the cephalosporin. C) The patient may be developing glomerulonephritis secondary to the nephrotoxic cephalosporin. D) The cephalosporin may have initially caused leukopenia and made the patient susceptible to secondary infection.
A child is mechanically ventilated. Which assessment finding indicates that a priority goal is being met?
A. Enteral feeding tube present B. PaCO2: 40 mm Hg C. Intact skin integrity D. Ventilator on control mode
Why is it important for the home health nurse to interview an 82-year-old patient following the patient's fall in the home?
a. So that the incident can be reflected in the home health nurse's documentation b. To help the patient gain insight into the cause of the fall c. In order to guarantee no further falls d. To collect data for research purposes
When using a binomial distribution, the confidence interval is symmetric around the sample proportion
A) True B) False