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.”. .

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["22.6"]

Explanation

Step 1 is: Determine the amount of potassium chloride per mL. 20 mEq ÷ 15 mL = 1.33 mEq/mL Step 2 is: Calculate the volume needed to administer 30 mEq. 30 mEq ÷ 1.33 mEq/mL

= 22.56 mL The nurse should administer 22.6 mL (rounded to the nearest tenth).

A. “I’ll drink white wine, not red.”. B. “I’ll limit the number of fruit servings I eat each day.”. C. “I’ll choose red meat instead of poultry.”. D. “I’ll eliminate liver from my diet.”.

Correct Answer is D

Explanation

Choice A rationale
While alcohol consumption should generally be limited for individuals with gout, white wine is not necessarily better than red wine. Both types of wine contain purines, which can increase uric acid levels and trigger gout attacks. Therefore, the statement “I’ll drink white wine, not red” is not a correct indication of understanding a low-purine diet.
Choice B rationale
Fruits are generally low in purines and are recommended as part of a healthy diet for managing gout. Limiting fruit servings is not necessary and does not align with the principles of a low-purine diet. Therefore, the statement “I’ll limit the number of fruit servings I eat each day” is incorrect.
Choice C rationale
Red meat is high in purines and should be limited or avoided in a low-purine diet. Choosing red meat over poultry is not advisable for managing gout. Therefore, the statement “I’ll choose red meat instead of poultry” is incorrect.
Choice D rationale
Organ meats, such as liver, are very high in purines and should be eliminated from the diet to manage gout effectively. The statement “I’ll eliminate liver from my diet” correctly indicates an understanding of a low-purine diet.

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A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. (Do not use a trailing zero)

Correct Answer is ["22.6"]

Explanation

A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is D

Explanation

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