A patient tells the nurse she had the bacilli Calmette-Guérin (BCG) vaccination as a child because her mother had tuberculosis. How will this patient be screened for tuberculosis?
1. Two-step Mantoux test
2. PPD test
3. Sputum tests
4. Chest X-ray
4
Rationale 1: The patient will have a positive response to this test, so it is not a valid means of screening.
Rationale 2: The patient will have a positive response to this test, so it is not a valid means of screening.
Rationale 3: Sputum tests are not done for screening purposes.
Rationale 4: Periodic chest X-rays may be required for screening purposes.
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A client diagnosed with AD has been assigned the nursing diagnosis of anxiety R/T divorce. Which correctly written outcome addresses this client's problem?
1. Rates anxiety as 4 out of 10 by discharge. 2. States anxiety level has decreased by day one. 3. Accomplishes activities of daily living independently. 4. Demonstrates ability for adequate social functioning by day three.
A nurse who is left-handed is applying sterile gloves for a procedure. What is the correct procedure for this nurse?
a. Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. b. Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand. c. Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. d. Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand.
Which activities represent dimensions of the National Health Service's Informatics Capability Maturity Model? (Select all that apply.)
a. Clinical documentation b. Managing information c. Using business intelligence d. Aligning business and informatics
The nurse is preparing to provide wound care to a client newly diagnosed with a burn. Which of the following are goals of this initial wound care? (Select all that apply.)
1. Hydrate the skin. 2. Cleanse the skin. 3. Prevent further skin destruction. 4. Provide comfort. 5. Prevent nutritional deficits. 6. Prevent infection.