The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action should the nurse take?
a. Teach about the reason for the blood tests.
b. Schedule an appointment for a chest x-ray.
c. Teach about the need to get sputum specimens for 2 to 3 consecutive days.
d. Instruct the patient to expectorate three specimens as soon as possible.
ANS: C
Sputum specimens are obtained on 2 to 3 consecutive days for bacteriologic testing for M. tuberculosis. The patient should not provide all the specimens at once. Blood cultures are not used for tuberculosis testing. A chest x-ray is not bacteriologic testing. Although the findings on chest x-ray examination are important, it is not possible to make a diagnosis of TB solely based on chest x-ray findings because other diseases can mimic the appearance of TB.
You might also like to view...
The nurse is caring for a client with a toxic level of iron. The nurse anticipates administering:
a. intravenous normal saline. b. deferoxsamine mesylate. c. sodium ferric gluconate in sucrose injection. d. epoetin alfa recombinant.
The clinic nurse is teaching on the ways to help a child with DM1 when a hypoglycemic incident occurs. The teaching should include:
1. Allowing for 6 oz of diet soda every day. 2. Providing a juice box. 3. Allowing the child to eat, then return to previous activities. 4. Providing the child a bag of Cheetos.
Policy is a method nurses can use to influence family health. Family policy means:
1. Anything that is done by the government that directly or indirectly affects fami-lies 2. Laws that affect families and family living 3. Requirements for immunizations for the entire family 4. Healthy People 2010 guidelines for healthy families.
To achieve therapeutic effectiveness, a nurse teaches a patient with chronic asthma to use an inhaled glucocorticoid medication according to which schedule?
A. Only in an emergency B. On a continuing, daily basis C. To abort an asthma attack D. 2 weeks on, 2 weeks off