You are a public health nurse working at a county immunization and tuberculosis (TB) clinic
B.A. is a 51-year-old woman who wishes to obtain a food handler's license and is required to show proof of a negative
Mantoux (purified protein derivative [PPD]) test result before being hired. She came to your clinic 2 days ago to undergo a PPD test for TB. She has returned to have you evaluate her reaction.
What is TB, and what microorganism causes it?
What is the route of transmission for TB?
TB is the common term for tuberculosis, an infectious disease caused by Mycobacterium tuberculosis,
or M. tuberculosis for short, an acid-fast, gram-positive bacillus. TB is a communicable disease; it is a
requirement to report cases to the Centers for Disease Control and Prevention (CDC).
TB spreads by airborne droplet transmission.
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A client with moderate to severe anxiety associated with generalized anxiety disorder can be
assessed as successfully lowering her anxiety level to mild when she a. asks "What's the matter with me?" b. stays in her room and paces. c. states she is uninterested in eating. d. can concentrate on what the nurse is saying.
The nurse is preparing to obtain a health history from a patient with preeclampsia who is at home. In which area should the nurse conduct the assessment?
A) Bedroom, where it is quiet and private B) Kitchen, so other family members can participate C) Porch, so the nurse does not have to enter the home D) Living room, so as to not interrupt television viewing
The nurse is preparing a client for surgery and asks the client to remove his dentures and place them in the specified cup at the bedside. The client states, "Why are you asking me to do this? The last time I had surgery I got to keep my dentures in my mouth." Which is the nurse's best response to this client statement?
A. "You may have thought you kept them in. I'm guessing your dentures were removed after you went to sleep and were returned to your mouth before you were completely awake." B. "Some anesthesiologists allow a client to keep a full set of dentures in the mouth if a specific type of anesthesia is given." C. "I've never heard of anyone keeping their dentures in for surgery. You must remove them." D. "I'm sorry that you don't want to do this. You must take them out or your surgery will be canceled."
The lowest pregnancy rates can be found in
a. United States b. Canada c. Sweden d. Great Britain