After 3 days, nurse receives results from Raymond's TB skin test that was administered at his HCP's office. Even though Raymond's reaction to the TB test measures only 5mm in diameter, the HCP documents a positive test result. A new graduate nurse finds this confusing. New grad thought that a 10mm induration was the minimum size for a positive reading and asks the nurse preceptor for clarification. How should the nurse preceptor respond?
A. "This confuses me too. I think we need to consult with the HCP"
B. "That is not always true. A 5mm induration is considered positive for TB in a person with HIV"
C. "It may be that you are confusing induration with inflammation in skin testing results"
D. "Let's ask the nurse practitioner who specializes in caring for clients who are HIV positive"
Answer: B. "That is not always true. A 5mm induration is considered positive for TB in a person with HIV"
You might also like to view...
A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and the nurse notices raised, firm, nontender nodules at the olecranon bursa and along the ulna. These nodules are most commonly diagnosed as:
a. Epicondylitis. b. Gouty arthritis. c. Olecranon bursitis. d. Subcutaneous nodules.
After genetic testing is completed, the client is found to be at "population risk" for development of a disorder. How should the nurse explain this risk to the client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Population risk means that you are in a population of people who will likely develop this disease." 2. "Because you are at population risk, we advise that you follow standard screening for this disease." 3. "You have no environmental risks for developing this disease." 4. "You do not have to worry about ever developing this disease." 5. "You have moderate risk for developing this disease, so frequent screening is necessary."
The cheeselike, whitish substance that fuses with the epidermis and serves as a protective coating is called
a. Vernix caseosa b. Surfactant c. Caput succedaneum d. Acrocyanosis
The client delivered her first child vaginally 7 hours ago. She has not voided since delivery. She has an IV of lactated Ringer's solution running at 100 mL/hr. Her fundus is firm and to the right of midline. What is the best nursing action?
1. To massage the fundus vigorously 2. To assess the client's pain level 3. To increase the rate of the IV 4. To assist the client to the bathroom