A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make?
“An indurated area of 4 millimeters indicates a positive result.”.
“The injection site will be evaluated within 24 hours.”.
“A positive result does not always indicate active disease.”.
“The test will not be administered if you have had a previous negative result.”. .
The Correct Answer is C
Choice A rationale
An indurated area of 4 millimeters is not considered a positive result for tuberculin skin testing. The size of induration considered positive varies based on the individual’s risk factors and health status.
Choice B rationale
The injection site for a tuberculin skin test should be evaluated between 48 and 72 hours after administration, not within 24 hours. Evaluating it too early may not provide accurate results.
Choice C rationale
A positive result in a tuberculin skin test indicates that the person has been infected with TB bacteria, but it does not necessarily mean they have active TB disease. Further tests are needed to determine if the disease is active.
Choice D rationale
A previous negative result does not preclude the administration of a new tuberculin skin test. Individuals can be retested if there is a new risk of exposure or if it is required for medical or occupational reasons.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Step 1: Calculate the dose required. 30 mg ÷ (50 mg/mL) = 0.6 mL The nurse should administer 0.6 mL per dose. 1: [Memorial Sloan Kettering Cancer Center]
Correct Answer is A
Explanation
Choice A rationale
Difficulty starting the flow of urine is a common symptom of benign prostatic hyperplasia (BPH). This condition involves the enlargement of the prostate gland, which can obstruct the urethra and make it difficult to initiate urination.
Choice B rationale
Painful urination is not typically associated with BPH. It is more commonly linked to urinary tract infections or other conditions such as prostatitis.
Choice C rationale
Urge incontinence is not a primary symptom of BPH. While BPH can cause urinary frequency and urgency, urge incontinence is more often related to overactive bladder syndrome.
Choice D rationale
Critically elevated prostate-specific antigen (PSA) levels are not a direct symptom of BPH. Elevated PSA levels can be indicative of prostate cancer or other prostate conditions, but not specifically BPH12.
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