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 B

Explanation

A) Provide dorm teaching sessions about the need to finish prescribed antibiotic doses:
While educating about antibiotic adherence is important, it is not specifically targeted to meningococcal meningitis. This intervention is more relevant to managing infections rather than preventing meningococcal meningitis, which is primarily preventable through vaccination.

B) Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living:
Meningococcal meningitis is a significant risk in college environments due to close living conditions. The meningococcal polysaccharide vaccine is effective in preventing the disease. Encouraging incoming freshmen to receive this vaccine before starting dorm life directly addresses the prevention of meningococcal meningitis and is the most effective measure for reducing incidence in this high-risk population.

C) Require documentation from incoming freshmen that Haemophilus influenza type b (Hib) vaccinations are current:
While Hib vaccinations are important for preventing certain bacterial infections, they are not specifically related to meningococcal meningitis. The Hib vaccine is not a primary prevention method for meningococcal disease, making this measure less relevant for addressing meningococcal meningitis.

D) Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors:
Isoniazid is used for tuberculosis prophylaxis, not for preventing meningococcal meningitis. Developing a protocol for isoniazid would not impact the incidence of meningococcal meningitis and is therefore not relevant to this particular prevention goal.

A. Long bone density testing. B. Annual flu vaccination status. C. Weight and height measurement. D. Serum total cholesterol level.

Correct Answer is C

Explanation

A) Long bone density testing:
Bone density testing is typically not a priority for elementary school students. This type of testing is more relevant for older populations or individuals at risk for conditions such as osteoporosis. For elementary-aged children, other measures are more pertinent to their immediate health needs.

B) Annual flu vaccination status:
While tracking annual flu vaccination status is important for preventing influenza and maintaining public health, it does not encompass a broad range of health risks. A health risk screening protocol should include measures that provide a comprehensive view of a child's overall health and growth.

C) Weight and height measurement:
Weight and height measurements are fundamental components of health risk screening in elementary school children. These measurements help assess growth patterns, identify potential issues with malnutrition or obesity, and monitor overall health. They are critical for evaluating whether children are developing appropriately and for identifying early signs of potential health problems.

D) Serum total cholesterol level:
Measuring serum total cholesterol levels is more relevant for older children or those with specific risk factors for cardiovascular disease. For elementary school children, it is more practical to focus on growth metrics such as weight and height, which provide immediate and actionable insights into their health status.

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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

Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

Correct Answer is B

Explanation

A school nurse is developing a health risk screening protocol for use at an elementary school. Which information is most important for the nurse to include in this protocol?

Correct Answer is C

Explanation

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

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