A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is HIV positive. Which induration size indicates a positive result for this child 48–72 hours after the test?
a. 5 mm
b. 10 mm
c. 15 mm
d. 20 mm
ANS: A
Clinical evidence of a positive TST in children receiving immunosuppressive therapy, including immunosuppressive doses of steroids or who have immunosuppressive conditions, including HIV infection is an induration of 5 mm. Children younger than 4 years of age with: (a) other medical risk conditions, including Hodgkin disease, lymphoma, diabetes mellitus, chronic renal failure, or malnutrition; (b) born or whose parents were born in high-prevalence (TB) regions of the world; (c) frequently exposed to adults who are HIV infected, homeless, users of illicit drugs, residents of nursing homes, incarcerated or institutionalized, or migrant farm workers; and (d) who travel to high-prevalence (TB) regions of the world are positive when the induration is 10 mm. Children 4 years of age or older without any risk factors are positive when the induration is 20 mm.
You might also like to view...
The client who is recovering from severe trauma remains confined to the bed due to a broken leg. The nurse plans care for this client based on a nursing diagnosis of Impaired Physical Mobility. Which intervention should the nurse plan for this client?
1. Monitoring the client's level of consciousness. 2. Monitoring the client for jaundice. 3. Evaluating the legs for heat and swelling. 4. Ensuring a urinary output of 30 mL/hour.
The nurse is planning care for several surgical clients. Which client would most likely have the best wound healing?
a. An older adult b. The client who eats a high-protein, high-carbohydrate diet c. The client diagnosed with anemia d. The client prescribed steroids
Mrs. Hill, aged 68, was hospitalized after a stroke. The speech therapist recommended that oral feeding be stopped because of her dysplasia. During visiting hours, Mr. Hill fed his wife some noodles
The nurse noticed this and stopped Mr. Hill from feeding his wife, telling him it was the doctor's decision. An hour later, the nurse returned and found Mr. Hill feeding his wife again. The nurse tried to stop him again. Mr. Hill refused and claimed that the clinical staff was trying to starve his wife; he also threatened to get violent with the nurse. The nurse decided to walk away and documented the event in Mrs. Hill's chart. The outcome as depicted by Thomas' conflict stages can be considered to be: a. Compromising. b. Confronting. c. Constructive. d. Destructive.
Before LMX theory, researchers treated leadership as something
a. Leaders did toward all of their followers b. Present within the individual actions of followers c. Existing between the leader and each of his or her followers d. As an exclusively two-way, one-dimensional form of communication