Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?

Rescreen the entire prison population in 6 weeks.

Start the two inmates on antitubercular medications.

Refer the two Inmates for chest x-rays.

Screen the prison guards for TB.

Answer and Explanation

The Correct Answer is C

A. Rescreen the entire prison population in 6 weeks:
While rescreening may be necessary at some point, it is not the immediate priority. The focus should be on diagnosing and managing the individuals who have already tested positive.

B. Start the two inmates on antitubercular medications:
Starting antitubercular medications is important, but it should only be done after confirming that the individuals have active TB. The positive skin test indicates exposure but does not confirm active TB disease.

C. Refer the two inmates for chest x-rays:
A chest x-ray is crucial to determine whether the positive skin test indicates active TB disease or latent TB infection. This step is essential for accurate diagnosis and appropriate management. It helps distinguish between active TB, which requires treatment, and latent TB, which may require different management strategies.

D. Screen the prison guards for TB:
While screening the prison guards could be a part of a broader infection control plan, it is not the most immediate priority. The focus should be on further evaluating and managing the inmates who have tested positive.

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Correct Answer is C

Explanation

A) Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods:
While involving participants by having them bring foods can encourage engagement, estimating fat content without precise measurements or nutritional information may lead to inaccuracies. This method does not provide the structured and clear information needed for effective education about fat content.

B) Show a movie about cooking with foods that are low in fat but delicious:
Showing a movie can be an engaging way to present information, but it may not offer detailed, interactive learning about the specific fat content of foods. A movie provides general information but lacks the direct discussion and analysis of nutritional data that participants might need.

C) Determine foods most often eaten by this group and discuss the nutritional panel of each product:
This method is effective as it addresses the specific foods commonly consumed by the older adults in the group. Discussing the nutritional panels of these foods allows for a focused examination of fat content and other nutritional information relevant to their diets. This approach provides practical, personalized education and helps participants make informed dietary choices.

D) Display posters with foods and tell the seniors about the fat content:
Displaying posters with information about fat content is useful for visual learning but may not be as interactive or engaging as discussing specific foods that participants are familiar with. This method provides general information but lacks the personalized touch of discussing commonly eaten foods and their nutritional panels.

A. Parent's report about belravior. B. Current grade report. C. Self-report about treatment progress. D. Past grade report.

Correct Answer is A

Explanation

A) Parent's report about behavior:
The parent’s report about the adolescent's behavior is crucial for evaluating the effectiveness of methylphenidate in managing ADHD symptoms. Parents observe the child’s behavior in various settings and can provide detailed information on improvements or ongoing challenges with attention, hyperactivity, and impulsivity. This feedback is essential in assessing whether the medication is having the desired effect and if any adjustments are needed.

B) Current grade report:
While academic performance is an important aspect of evaluating the impact of ADHD medication, it is not the sole indicator of effectiveness. Grades can be influenced by multiple factors, including teaching methods, learning environment, and personal circumstances, so they provide only part of the picture.

C) Self-report about treatment progress:
Self-reports from adolescents can offer valuable insights into their own perception of how well the medication is working. However, younger individuals might not always accurately assess or communicate the effects of the medication, especially in the context of ADHD, where self-awareness can be limited.

D) Past grade report:
Past grade reports can provide historical context and help in comparing changes over time. However, they do not provide immediate feedback on the current effectiveness of the medication. Current behaviors and symptoms, as reported by parents, are more directly relevant to assessing the current impact of the medication.

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Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?

Correct Answer is C

Explanation

The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?

Correct Answer is A

Explanation

One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?

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The nurse is working with a Parent Teacher Organization (PTO) to increase safety for children walking to and from a nearby elementary school. Which action should the nurse include to help achieve this goal?

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