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 ["B","C","E"]
Explanation
Choice A rationale
Acetone breath is a characteristic symptom of diabetic ketoacidosis (DKA), not hyperosmolar hyperglycemic syndrome (HHS). In DKA, the body produces ketones, leading to a fruity or acetone-like breath odor. HHS, on the other hand, does not typically involve significant ketone production.
Choice B rationale
Fever can be a manifestation of HHS, often due to an underlying infection or illness that precipitates the hyperglycemic state. Infections are common triggers for HHS, leading to elevated body temperature.
Choice C rationale
Serum glucose levels of 800 mg/dL are indicative of HHS. HHS is characterized by extremely high blood glucose levels, often exceeding 600 mg/dL, without significant ketoacidosis.
Choice D rationale
Serum bicarbonate levels of 15 mEq/L are more indicative of DKA rather than HHS. In HHS, bicarbonate levels are usually within the normal range because there is no significant ketoacidosis.
Choice E rationale
Insidious onset is a hallmark of HHS. The condition develops gradually over days to weeks, unlike DKA, which has a more rapid onset.
Correct Answer is B
Explanation
Choice A rationale
Oseltamivir is incorrect. Oseltamivir is an antiviral medication used to treat influenza. It is not indicated for the treatment of benign prostatic hyperplasia (BPH).
Choice B rationale
Silodosin is correct. Silodosin is an alpha-blocker used to treat the symptoms of BPH. It works by relaxing the muscles in the prostate and bladder neck, making it easier to urinate.
Choice C rationale
Ceftriaxone is incorrect. Ceftriaxone is an antibiotic used to treat bacterial infections. It is not indicated for the treatment of BPH.
Choice D rationale
Doxepin is incorrect. Doxepin is a tricyclic antidepressant used to treat depression and anxiety. It is not indicated for the treatment of BPH.
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