A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicates a positive test?
A reddened area measuring 10 mm
A reddened area measuring 5 mm
An induration measuring 5 mm
An induration measuring 10 mm
The Correct Answer is D
A. A reddened area without induration is not a positive result.
B. A reddened area without induration is not considered positive.
C. An induration of 5 mm is positive only for high-risk groups (e.g., immunocompromised clients).
D. An induration measuring 10 mm is considered positive in most adults, indicating TB exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tidaling in the water seal chamber indicates normal fluctuations in pressure as the client inhales and exhales, signifying that the system is functioning properly.
B. Absence of tidaling may indicate that the lung has fully re-expanded.
C. A loop of tubing below the system can cause drainage issues but does not cause tidaling.
D. Clots can partially obstruct the tubing but would not cause regular tidaling.
Correct Answer is D
Explanation
A. Hemoglobin and hematocrit are important but not the focus in Alzheimer’s care unless anemia is suspected.
B. Liver function tests are not typically monitored unless the client is on hepatotoxic medications.
C. Kidney function tests are essential if there are concerns about hydration or medication clearance but are not routine in Alzheimer's care.
D. Monitoring serum sodium and potassium is critical as imbalances can lead to confusion, agitation, and worsening cognitive symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.