The nurse at a public health clinic is working with some students on rotation through the clinic
The nurse asks the students, "How is a definitive diagnosis of tuberculosis made?" The students would be correct to respond that a definitive diagnosis of tuberculosis is made by which of the following means? (Select all that apply.) a. Tuberculin skin testing
b. Chest radiographs (x-ray films)
c. Microscopic examination of sputum
d. Chronic cough
e. Night sweats
B, C
Definitive diagnosis of TB is made by chest radiographs and microscopic examination of the sputum.
TB skin testing, a chronic cough, and night sweats are not definitive and may not even be related to TB.
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A patient from a nondominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this patient?
A) Offer to provide the patient with a back rub B) Measure the pain level with a pain rating scale C) Discuss pain control measures with the physician D) Nothing until the patient asks for pain medication
A client had a uterine artery embolization and has just returned to the nursing unit. She is asking when she can get up to go to the bathroom. Which question does the nurse ask during hand-off report?
a. "Was a vascular closure device used?" b. "What was her estimated blood loss?" c. "Is there an order for a catheter?" d. "When was the client's last sedation?"
An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?
a. It is too late to prevent an unwanted pregnancy. b. An abortion may be the best option if she is pregnant. c. The risk of pregnancy is minimal, so no action is necessary. d. Postcoital contraception is available to prevent implantation and therefore pregnancy.
The distraught wife of a terminally ill patient complains to the nurse, "My husband has not been shaved, and he has that miserable gown on instead of his own pajamas. Don't you people care about things like that?"
What would be the best response of the nurse? a. "I delayed his morning care because he was sleeping comfortably. I'll complete his care now that he's awake." b. "We're running late today and I have six other patients to care for. What do you want?" c. "Of course we care! Someone will come to do his care before lunch." d. "I'm sorry you feel we're doing such a poor job. I'm doing my best."