Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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Rhoda Miller has returned to the clinic 72 hours following a tuberculin skin test with an induration of about 5 to 6 mm at the administration site. She is visibly upset and states, “I can’t believe I have TB!” Which statement by the nurse is appropriate?
  1. “You’ll need to put on a mask and wear it whenever you are around other people.”
  2. “The doctor will prescribe Isoniazid for you to take for the next 3 months.”
  3. “This finding does not confirm TB; it may indicate a recent exposure to tuberculosis.”
  4. “We’ll need to do a chest x-ray. This may be falsely positive because of your history of diabetes.”
Explanation
Answer - C - An induration of 5 to 9 mm resulting from a tuberculin skin test is indicative of close contact with an individual infected with mycobacterium tuberculosis. The client with this finding will be prescribed isoniazid for 6 to 12 months as prophylaxis against development of active TB. History of diabetes is not related to a false positive tuberculin skin test. The nurse should demonstrate a calm, supportive, and informing manner with this client.
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