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. Characteristics of families in the upper-middle class:
Understanding the characteristics of families in a specific income bracket can provide useful context, but it does not directly address the distribution of income within the community. The focus should be on the entire income range and how it affects the community's needs.

B. The reliability of such a high average family income:
While it's important to consider the accuracy of data, this question is more about how the range and distribution of income affect the community. The reliability of the data is less relevant than understanding the income distribution.

C. The frequency of incomes above and below the average:
Assessing the frequency of incomes above and below the average provides a better understanding of income distribution within the community. This information helps identify socioeconomic disparities and guide targeted interventions or resources needed for different income groups.

D. Interventions focused on college-educated individuals:
Focusing on college-educated individuals may be relevant in some contexts, but it does not address the broader issue of income distribution. Understanding the frequency of different income levels is more directly related to addressing the needs of the community based on their income range.

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?

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Naxlex Comprehensive Predictor Exams

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?

Correct Answer is C

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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