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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Free Nursing Study Resources

Correct Answer is B

Explanation

A) Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program:
Evaluating the teachers’ ability to identify pediculosis capitis is important for ongoing surveillance, but it does not directly measure the effectiveness of the program in reducing the prevalence of the condition. This action focuses more on teacher training rather than the program's overall impact.

B) Measure the prevalence of pediculosis capitis among the children after four months:
Measuring the prevalence of pediculosis capitis among children after the implementation of the program is the most effective way to evaluate the program's success. By comparing the prevalence before and after the program, the nurse can assess whether the interventions (educational pamphlets and regular assessments) have led to a reduction in cases.

C) Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition:
Surveying parents about their understanding of pediculosis capitis is useful for evaluating the reach and impact of the educational component. However, it does not directly measure the effectiveness of the program in reducing the actual prevalence of pediculosis capitis among children.

D) Conduct an initial examination of each child in the school to obtain baseline data:
Conducting an initial examination provides valuable baseline data on the prevalence of pediculosis capitis before the program begins. However, this action alone does not evaluate the effectiveness of the program; it must be followed by assessments after the program’s implementation to determine if there has been a reduction in cases.

A. Renal insufficiency. B. Peripheral neuropathy. C. Hyperlipidemia. D. Retinopathy.

Correct Answer is C

Explanation

A. Renal insufficiency: While annual screening for renal insufficiency is important for individuals with diabetes to detect early signs of diabetic nephropathy, it is not as directly related to the immediate risks associated with smoking and family history of heart disease.

B. Peripheral neuropathy: Screening for peripheral neuropathy is essential for diabetes management, but it is not the most critical in the context of the client's smoking history and family history of early heart disease.

C. Hyperlipidemia: Given the client’s significant risk factors—including smoking two packs of cigarettes daily and a family history of early cardiovascular events—it is crucial to screen for hyperlipidemia. Smoking and a family history of early heart attack both increase the risk of cardiovascular disease, which is often associated with high cholesterol levels. Addressing hyperlipidemia can help mitigate the risk of cardiovascular complications.

D. Retinopathy: Screening for diabetic retinopathy is important for managing diabetes and preventing vision problems. However, in the context of the client's smoking and family history, addressing hyperlipidemia is a more immediate concern related to cardiovascular health.

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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

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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