Practice Quiz

CNOR Operating Room Nursing

Category - Preop

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The nurse notes that a patient recently had a tuberculin skin test that produced a 3 mm reaction of erythema without induration at the site. What is the nurse’s most appropriate response regarding surgery in this situation?
  1. Move the patient to a negative-pressure room and begin wearing a particulate respirator mask.
  2. Notify the surgeon of the results to determine if the surgery must be postponed.
  3. Obtain a chest x-ray and contact the patient’s primary physician regarding the results.
  4. Note the reaction in the chart and proceed as usual.
Explanation
Answer: D-The nurse’s most appropriate response in this situation is to note the reaction in the chart and proceed as usual with the surgical process. A tuberculin skin reaction of 3 mm of erythema without induration is considered a negative skin reaction and is not clinically significant. Erythema with induration is significant and should be further monitored, noting the size of the reaction.
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