The nurse reviews the health record of a 2-year-old child and notes that the physician has documented that the results of a Mantoux test have indicated an area of induration measuring 5 mm. The nurse would interpret these results as:
1. Positive
2. Negative
3. Inconclusive
4. Definitive, requiring a repeat test
2
Rationale: Induration measuring 10 mm or greater is considered to be a positive result in children younger than 4 years. A reaction of 5 mm or greater is considered to be a positive result for the highest risk groups.
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A woman presents with a history of physical and emotional abuse in her intimate relationships. What should this information lead a nurse to suspect?
1. The woman may be exhibiting a controlled response pattern. 2. The woman may have a history of childhood neglect. 3. The woman may be exhibiting codependent characteristics. 4. The woman may be a victim of incest.
Which of the following advice should the nurse provide to a client who has to undergo a procedure of barium swallow for gastrointestinal disorder?
A) Avoid smoking for at least a day before the procedure. B) Take vitamin K before the procedure. C) Take three cleansing enemas before the procedure. D) Avoid taking antibiotics before the procedure.
A nurse has been asked to present a program on blood pressure for a group of adults at a community center. Which of the following true statements should the nurse incorporate into the presentation? Standard Text: Select all that apply
1. Females tend to have higher blood pressure readings than males of the same age. 2. Middle-aged African American males tend to have higher blood pressures than American males of European descent. 3. Stress can result in an increase in blood pressure. 4. Blood pressure readings tend to be lowest in the evening. 5. During physical activity, blood pressure decreases.
Family members who will be caring for a client at home who previously sustained a moderate to severe head injury are concerned about managing the client's personality and behavior changes once the client is home
What is the nurse's best approach to this problem? A. Advise the family to point out unacceptable behavior to the client. B. Limit visitors until the client's personality and behaviors stabilize. C. Teach the family to develop a home routine that provides structure, repetition, and constancy. D. Remind the family that the client will eventually achieve the same level of cogni-tive, physical, and emotional functioning that was present before the injury.