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 ["A","C","D","F"]

Explanation

A) Client survey both in clinic and in the home:
Conducting surveys in both the clinic and home settings provides a comprehensive approach to gathering data on vaccination rates and influenza cases. This method ensures a wider reach and captures information from diverse populations, which can help in understanding factors influencing vaccination rates.
B) Ask a set number of clients if they have had the flu:
This action is less systematic and may not provide comprehensive data on vaccination rates or trends. It focuses more on individual experiences rather than providing a broad analysis of vaccination coverage and influenza cases.
C) Determine change in immunization rates from prior year to current year:
Analyzing the change in immunization rates over time helps identify trends and patterns. This comparison will reveal whether there has been a decline in vaccination rates, which could correlate with the increase in influenza cases. This step is crucial for understanding the effectiveness of past vaccination efforts and identifying areas for improvement.

D) Generate influenza immunization and case reports from the electronic record for prior year and current year:
Generating and reviewing reports from electronic health records provides concrete data on immunization rates and influenza cases. This data is essential for identifying trends and making informed decisions about where and how to target interventions.

E) Develop an action plan to increase immunization rates:
While developing an action plan is a necessary step after analyzing the data, it is not part of the data gathering process itself. It comes after understanding the current trends and patterns from the data collected.
F) Delineate geographic distribution of area to survey and review for patterns:
Understanding the geographic distribution helps in identifying areas with higher or lower vaccination rates and influenza cases. This spatial analysis can reveal patterns related to vaccination coverage and infection rates, guiding targeted interventions and resource allocation.

A. Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels. B. Advise the residents to keep their porch lights on during hours that children are walking to and from school. C. Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood. D. Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times.

Correct Answer is C

Explanation

A) Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels:
While inspecting for lead in older homes is important for general child safety and health, it is not directly related to the immediate safety of children walking to and from school. This action focuses on environmental health rather than direct safety measures for pedestrian routes.

B) Advise the residents to keep their porch lights on during hours that children are walking to and from school:
Keeping porch lights on can enhance visibility and deter potential hazards, but this action alone may not comprehensively address all safety concerns related to walking routes, such as traffic and pedestrian infrastructure.

C) Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood:
Designating safe houses provides a structured and effective approach to improving safety for children walking to and from school. Safe houses can offer a refuge in emergencies, enhancing overall safety and security. This approach directly supports the goal of increasing safety along the school routes.

D) Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times:
Encouraging seatbelt use is important for overall traffic safety but does not specifically address the safety of children walking to and from school. While it contributes to broader traffic safety, it does not directly impact pedestrian safety or walking routes.

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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

Correct Answer is ["A","C","D","F"]

Explanation

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?

Correct Answer is C

Explanation

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