A nurse is assessing a client who received a Mantoux skin test 72 hours ago for tuberculosis screening. Which of the following findings indicates a positive test result?

Choice A reason: Increased blood pressure is not an effect of furosemide, which reduces fluid volume, lowering pressure. Weight loss indicates efficacy. Assuming increased pressure is correct risks misinterpreting diuresis, potentially delaying further fluid management, critical to avoid in treating fluid volume excess effectively.

Choice B reason: Decreased pain is unrelated to furosemide’s diuretic action, which targets fluid reduction, evidenced by weight loss. Assuming pain reduction is an indicator risks missing fluid status changes, critical to prevent in ensuring accurate assessment of furosemide’s effectiveness in fluid volume excess treatment.

Choice C reason: Decreased inflammation is not a furosemide effect; it promotes diuresis, reducing fluid, shown by weight loss. Assuming inflammation reduction is relevant risks misjudging medication efficacy, potentially overlooking fluid overload signs, critical to avoid in managing fluid volume excess with diuretic therapy.

Choice D reason: Weight loss indicates furosemide’s effectiveness, as it reduces fluid volume excess through diuresis, decreasing edema and body weight. This is critical for assessing therapeutic response, ensuring fluid balance, preventing complications like heart failure, and guiding further treatment in clients with fluid overload.

Choice A reason: Having children at home is relevant for social support but less critical for occupational therapy than home layout, like a two-story home. Assuming children are priority risks overlooking functional adaptations, critical to avoid in ensuring tailored rehabilitation for clients post-amputation.

Choice B reason: Penicillin allergy is medical information, not directly relevant to occupational therapy, which focuses on functional adaptations for a two-story home. Assuming allergy is key risks diverting focus from rehabilitation needs, critical to prevent in supporting recovery post-amputation in occupational therapy planning.

Choice C reason: Reporting a two-story home is critical, as it impacts occupational therapy planning for mobility and daily tasks post-amputation, ensuring adaptations like stair aids. This is essential for functional independence, safety, and rehabilitation, supporting effective recovery and quality of life in clients with arm amputations.

Choice D reason: A parent in a nursing facility is unrelated to occupational therapy needs, unlike a two-story home, which affects mobility. Assuming this is relevant risks neglecting home adaptation needs, critical to avoid in ensuring functional rehabilitation and independence for clients post-amputation.