Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?
Antistreptolysin-O (ASO) titer.
Purified protein derivative test.
Chest X-ray.
C-reactive protein.
The Correct Answer is B
A. The ASO titer is a blood test used to detect streptococcal infections, particularly post-streptococcal sequelae like rheumatic fever or glomerulonephritis. It is not related to tuberculosis.
B. The Purified Protein Derivative (PPD) test, also known as the tuberculin skin test (TST), is specifically used to identify exposure to the tuberculosis bacteria. If a person has been exposed, the immune system will react to the PPD injection, causing a localized skin reaction that can be measured after 48-72 hours.
C. While a chest X-ray is an important tool for diagnosing active tuberculosis or assessing lung involvement, it is not the initial test for determining exposure to TB. It is usually ordered after a positive PPD test or when there are clinical symptoms of TB.
D. C-reactive protein (CRP) is a nonspecific marker of inflammation and infection in the body. It does not specifically indicate exposure to tuberculosis and is not used for TB testing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Primary hypertension, also known as essential hypertension, is characterized by high blood pressure without an identifiable or specific medical cause. It is the most common type of hypertension, and its development is thought to result from a combination of genetic, environmental, and lifestyle factors.
B. This statement is misleading. While hypertension can be severe, primary hypertension is not defined by its severity or immediate life-threatening nature. Instead, primary hypertension can range from mild to severe, but the key characteristic is the absence of a specific underlying cause.
C. While treating hypertension is important, the term "essential" in primary hypertension refers to its lack of a known cause, not the urgency or necessity of treatment. This option could confuse the terminology as it does not accurately define the type of hypertension.
D. This statement describes secondary hypertension, which occurs as a result of another medical condition (e.g., kidney disease, hormonal disorders). Primary hypertension, in contrast, does not have a direct identifiable cause.
Correct Answer is C
Explanation
A. While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B. Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C. This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D. Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.
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