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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Encourage smoking cessation:
Smoking during pregnancy can have serious consequences for both the mother and the fetus, such as increased risks of preterm birth, low birth weight, and developmental issues. Encouraging smoking cessation is crucial for improving both maternal and fetal health.
B. Arrange for childcare:
While childcare is an important consideration, it is not an immediate priority at this stage. The focus should be on ensuring the adolescent receives proper prenatal care and support for her health and the health of the baby.
C. Offer nutritional instruction:
Good nutrition is vital for a healthy pregnancy. Offering nutritional instruction helps the adolescent understand how to meet her dietary needs and those of her developing baby, contributing to better pregnancy outcomes.
D. Refer for prenatal care:
Prenatal care is essential for monitoring the health of both the mother and the fetus, providing necessary medical interventions, and offering support. Referring the adolescent for prenatal care is critical for addressing her medical needs throughout her pregnancy.
E. Teach breastfeeding methods:
While teaching breastfeeding methods is important, it is not the most immediate concern. This can be addressed later in the pregnancy or closer to delivery when the adolescent is more prepared to consider breastfeeding.
F.Notify her parents:
Unless the adolescent gives explicit consent or there are concerns for her safety or the safety of the baby, the nurse should maintain confidentiality. In many cases, the decision to notify parents is complex and requires careful consideration of the adolescent's autonomy and legal rights.
Correct Answer is D
Explanation
A) Suicide discussion is dangerous with people with depression:
Discussing suicide with individuals who have depression is not inherently dangerous and can actually be an essential part of the assessment and intervention process. Open discussions about suicidal thoughts can help in identifying those at risk and connecting them with appropriate help.
B) The majority of suicides occur in lower socioeconomic groups:
While socioeconomic factors can influence suicide risk, stating that the majority of suicides occur in lower socioeconomic groups oversimplifies the issue. Suicide affects individuals across all socioeconomic levels, and risk factors are more complex and multifaceted.
C) Social support systems ensure suicide prevention:
While strong social support systems are crucial in reducing suicide risk, they do not guarantee prevention. Other factors such as mental health conditions, personal crises, and substance abuse also play significant roles in suicide risk. Social support is one component of a broader strategy for prevention.
D) Severe life stresses at any age is a risk factor for suicide:
Severe life stresses, including major life events and ongoing personal crises, are well-established risk factors for suicide across all age groups. Recognizing and addressing these stressors is critical in suicide prevention efforts, as they can significantly impact an individual's mental health and increase the risk of suicidal behavior.
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