The nurse is interpreting a tuberculin skin test. If the nurse finds a result of an induration 5 mm or larger, in which child should the nurse document this finding as positive? (Select all that apply.)
a. A child with diabetes mellitus
b. A child younger than 4 years of age
c. A child receiving immunosuppressive therapy
d. A child with a human immunodeficiency virus (HIV) infection
e. A child living in close contact with a known contagious case of tuberculosis
ANS: C, D, E
A tuberculin skin test with an induration of 5 mm or larger is considered to be positive if the child is receiving immunosuppressive therapy, has an HIV infection, or is living in close contact with a known contagious case of tuberculosis. The test would be considered positive in a child who has diabetes mellitus or is younger than 4 years of age if the tuberculin skin test had an induration of 10 mm or larger.
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