A patient who had a Mantoux test for tuberculosis two days ago has a 2 mm area of erythema at the site of the test. How should this finding be identified?

A. Follow up with a tine test
B. Positive for tuberculosis
C. Negative
D. Unable to be determined


Answer: C

Nursing

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A new mother is concerned about a mass on her newborn's head. The nurse assesses this, and finds it to be a cephalhematoma. Which of the following characteristics would indicate a cephalhematoma? (Select all that apply.)

A. The mass appeared on the second day after birth. B. The mass appears larger when the newborn cries. C. The head appears asymmetrical. D. The mass is purplish in color. E. The mass overrides the suture line.

Nursing

The nurse is assigned to a patient who was recently diagnosed with a terminal illness. During morning care, the patient asks about organ donation. The nurse should:

A) have the patient first discuss the subject with the family B) suggest the patient delay making a decision at this time C) contact the physician so that consent can be obtained from the family D) assist the patient to obtain the necessary information to make this decision

Nursing

The nurse teaching a 32 year old man with renal failure about the path physiologic mechanism of acid-base balance recognize that the instructions have been understood when the client says:

a) I lose too much acid through my kidneys b) My breathing increases to correct imbalances

Nursing

Which of the following best describes a condition in which there is decreased oxygen in the tissues?

A. Acidosis B. Hypoxemia C. Hypoxia

Nursing