The nurse is caring for several clients on a respiratory floor. The nurse should place the client with which condition in isolation?
a. Fever and weight loss
b. Negative QuantiFERON TB gold test
c. Negative acid-fast bacillus (AFB) stain
d. Positive nucleic acid amplification test (NAAT)
D
The NAAT is a new rapid test for the diagnosis of tuberculosis (TB). Results are available in less than 2 hours. A positive test is conclusive for TB, and the client should be placed in isolation per facility policy. A client with a negative QuantiFERON gold test would not have tuberculosis. Likewise, a client with a negative AFB would not have tuberculosis. The client with fever and weight loss could have tuberculosis, but diagnostic tests would be needed because these are nonspecific manifestations.
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1. Encouraging frequent ambulation in the hall 2. Administration of stool softeners 3. Bed rest in a quiet, darkened room 4. Offering frequent warm beverages containing caffeine
A client with breast cancer has had genetic testing that shows she is a CYP2D6 ultra-rapid metabolizer. How would the nurse explain this result?
1. "You do not have the functional enzyme to break down tamoxifen." 2. "Your ability to break tamoxifen down to active metabolites is normal." 3. "Your body will break down tamoxifen to its active metabolites very quickly, which increases your ability to fight your cancer." 4. "You will break tamoxifen down so quickly that it will be metabolized out of your system before it can work on cancer cells."
Which of the following programs is an entitlement program?
1. EPO 2. MCO 3. Medicaid 4. Medicare
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a. Jung b. Havighurst c. Erikson d. Newman