A client arrives at a health clinic stating I am here to have my tuberculin skin test read

ABOUT TB TESTING

Tuberculosis (TB) is a disease that is spread through the air from one person to another. When someone who is sick with TB coughs, speaks, laughs, sings, or sneezes, people nearby may breathe TB bacteria into their lungs. TB usually attacks the lungs, but can also attack other parts of the body, such as the brain, spine, or kidneys.

TB bacteria can live in the body without making a person sick. This is called latent TB infection. People with latent TB infection do not feel sick, do not have TB symptoms, and cannot spread TB bacteria to others. Some people with latent TB infection go on to develop TB disease. People with TB disease can spread the bacteria to others, feel sick, and can have symptoms including fever, night sweats, cough, and weight loss.

I.D.A. Drug Marts offers TB testing through Queenstown I.D.A. Drug Mart located on 302 Queen St. East.

Administering the TB skin test

The TB skin test is also called the Mantoux tuberculin skin test (TST). A TB skin test requires two visits with a health care provider.
On the first visit the test is placed; on the second visit the health care provider reads the test.

• The TB skin test is performed by injecting a small amount of fluid (called tuberculin) into the skin on the lower part of the arm.
• A person given the tuberculin skin test must return within 48 to 72 hours to have a trained health care worker look for a reaction on the arm.
• The result depends on the size of the raised, hard area or swelling.

Reading the result of a TB skin test

Positive skin test: This means the person’s body was infected with TB bacteria. Additional tests are needed to determine if the person has latent TB infection or TB disease.

Negative skin test: This means the person’s body did not react to the test, and that latent TB infection or TB disease is not likely.

There is no problem in repeating a TB skin test. If repeated, the additional test should be placed in a different location on the body (e.g., other arm).

The TB skin test is the preferred TB test for children under the age of five.

A client arrives at a health clinic stating, "I am here to havemy tuberculin skin test read." The nurse notes that there isa 7 mm indurated area at the injection site. Which statementmade by the nurse correctly describes this result?

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The nurse recognizes that which are important componentsof a neurovascular assessment? Select all that apply.

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A client arrives at a health clinic stating, "I am here to havemy tuberculin skin test read." The nurse notes that there isa 7 mm indurated area at the injection site. Which statementmade by the nurse correctly describes this result?"The result indicates that you have active tuberculosis.""The result indicates that you are infected with thetuberculosis organism.""The result indicates that there are no tuberculin antibodiesin your system.""The result indicates that you have a secondary infectionrelated to the tuberculin organism.""The result indicates that you are infected with the tuberculosis organism."An indurated area 5 mm or larger noted 48 to 72 hours after the tuberculin testindicates that the person is infected with the tuberculin organism. A positivetuberculin skin test accompanied by fever, coughing, weakness, and positivechest x-ray are manifestations of active tuberculosis. The other choices areincorrect.

The nurse recognizes that which are important componentsof a neurovascular assessment? Select all that apply.

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Issues and Ethics in the Helping Professions

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Movement and sensationA neurovascular assessment involves evaluation of nerve and blood supply to anextremity involved in an injury. The area involved may include an orthopedicand/or soft tissue injury. A correct neurovascular assessment should includeevaluation of capillary refill, pulses, warmth and paresthesias, and movementand sensation. Orientation, pupillary response, and respiratory rate arecomponents of a neurological assessment.A toddler screams and cries noisily after parental visits,disturbing all the other children. When the crying isparticularly loud and prolonged, the nurse puts the crib in aseparate room and closes the door. The toddler is left thereuntil the crying ceases, a matter of 30 or 45 minutes.Legally, how should this behavior be interpreted?

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Issues and Ethics in the Helping Professions

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Which statement made by the nurse indicates that the client's interview is coming to a close quizlet?

Which would the nurse do to ensure that the data is meaningful to other health care providers?

Which error will result in false high diastolic readings while measuring a client's blood pressure?

Which statement made by the nurse indicates that the client's interview is coming to a close?