A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

Explain to the client results should be read between 48 and 72 hours.

Identify how the client will follow up to have the results read.

Determine if the client understands the purpose of the tuberculin test.

Give the client written Information about the tuberculosis test.

Answer and Explanation

The Correct Answer is B

A) Explain to the client results should be read between 48 and 72 hours:
While it is important for the client to know when the results should be read, this step is secondary to ensuring the client has a plan for follow-up. Knowing the timeline for reading the results alone does not guarantee that the client will actually return to have the test read.

B) Identify how the client will follow up to have the results read
Ensuring that the client has a clear plan for follow-up is the most crucial intervention. For a homeless client, arranging for follow-up might involve coordinating with local health services or shelters to make sure the client returns for the test reading. Without a solid follow-up plan, the TB test could be missed, which is important for ensuring proper diagnosis and treatment.

C) Determine if the client understands the purpose of the tuberculin test:
Understanding the purpose of the test is important for client education, but it does not directly address the issue of follow-up. The priority should be ensuring that the client knows how to get the test results read, which is essential for the test's effectiveness.

D) Give the client written information about the tuberculosis test
Providing written information can be helpful, but it does not guarantee that the client will follow up to have the test read. Given the challenges faced by homeless individuals, direct assistance in planning follow-up care is more critical than providing written information alone.

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Correct Answer is A

Explanation

A) Review current epidemiological population data that might document a low immunization rate:
The first step in addressing low immunization rates is to gather and review current epidemiological data to confirm the extent of the problem. This data will provide a clear picture of the immunization rates in the area and help identify the specific gaps that need to be addressed. Accurate data is essential for designing targeted interventions and measuring their effectiveness.

B) Call a meeting of citizens to inform them of the importance of having their children immunized:
Informing the community about the importance of immunizations is a crucial step, but it should follow an assessment of the current immunization rates. Without data, it is difficult to know the exact need or how to effectively tailor the education to the community’s specific situation.

C) Join a political action group that focuses attention on the issue in the local news media:
While raising awareness through media and political action can be effective, it is more important to first understand the specific problem through data. The approach to media and political action can be informed and refined based on the findings from the epidemiological data review.

D) Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood:
Setting up free clinics can be a valuable intervention, but before implementing such a program, it is essential to understand the scope of the problem through data review. This ensures that resources are allocated effectively and that the clinics are set up in the areas with the greatest need.

A. Rescreen the entire prison population in 6 weeks. B. Start the two inmates on antitubercular medications. C. Refer the two Inmates for chest x-rays. D. Screen the prison guards for TB.

Correct Answer is C

Explanation

A. Rescreen the entire prison population in 6 weeks:
While rescreening may be necessary at some point, it is not the immediate priority. The focus should be on diagnosing and managing the individuals who have already tested positive.

B. Start the two inmates on antitubercular medications:
Starting antitubercular medications is important, but it should only be done after confirming that the individuals have active TB. The positive skin test indicates exposure but does not confirm active TB disease.

C. Refer the two inmates for chest x-rays:
A chest x-ray is crucial to determine whether the positive skin test indicates active TB disease or latent TB infection. This step is essential for accurate diagnosis and appropriate management. It helps distinguish between active TB, which requires treatment, and latent TB, which may require different management strategies.

D. Screen the prison guards for TB:
While screening the prison guards could be a part of a broader infection control plan, it is not the most immediate priority. The focus should be on further evaluating and managing the inmates who have tested positive.

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A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

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Naxlex Comprehensive Predictor Exams

The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?

Correct Answer is A

Explanation

Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?

Correct Answer is C

Explanation

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