A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make?
“An indurated area of 4 millimeters indicates a positive result.”.
“The injection site will be evaluated within 24 hours.”.
“A positive result does not always indicate active disease.”.
“The test will not be administered if you have had a previous negative result.”. .
The Correct Answer is C
Choice A rationale
An indurated area of 4 millimeters is not considered a positive result for tuberculin skin testing. The size of induration considered positive varies based on the individual’s risk factors and health status.
Choice B rationale
The injection site for a tuberculin skin test should be evaluated between 48 and 72 hours after administration, not within 24 hours. Evaluating it too early may not provide accurate results.
Choice C rationale
A positive result in a tuberculin skin test indicates that the person has been infected with TB bacteria, but it does not necessarily mean they have active TB disease. Further tests are needed to determine if the disease is active.
Choice D rationale
A previous negative result does not preclude the administration of a new tuberculin skin test. Individuals can be retested if there is a new risk of exposure or if it is required for medical or occupational reasons.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Metabolic acidosis is incorrect. Metabolic acidosis is characterized by a low pH and low HCO₃ levels. In this case, the HCO₃ level is normal, which rules out metabolic acidosis.
Choice B rationale
Metabolic alkalosis is incorrect. Metabolic alkalosis is characterized by a high pH and high HCO₃ levels. In this case, the pH is low, and the HCO₃ level is normal, which rules out metabolic alkalosis.
Choice C rationale
Respiratory acidosis is correct. Respiratory acidosis is characterized by a low pH and high PaCO₂ levels. In this case, the pH is 7.24 (low), and the PaCO₂ is 53 (high), indicating respiratory acidosis. This condition occurs when there is an accumulation of CO₂ in the blood due to inadequate ventilation.
Choice D rationale
Respiratory alkalosis is incorrect. Respiratory alkalosis is characterized by a high pH and low PaCO₂ levels. In this case, the pH is low, and the PaCO₂ is high, which rules out respiratory alkalosis.
Correct Answer is A
Explanation
Choice A rationale
A urinary tract infection (UTI) is a common cause of dark amber, cloudy urine with an unpleasant odor. UTIs are caused by bacteria that infect the urinary tract, leading to inflammation and the presence of pus or white blood cells in the urine. This can result in cloudy urine with a strong odor. Prompt treatment with antibiotics is necessary to resolve the infection and prevent complications.
Choice B rationale
Dehydration can cause dark amber urine, but it does not typically cause cloudiness or an unpleasant odor. Dehydration leads to concentrated urine, which appears darker in color. However, the presence of cloudiness and odor suggests an infection rather than dehydration.
Choice C rationale
Kidney stones can cause dark urine if there is bleeding, but they do not typically cause cloudiness or an unpleasant odor. The passage of a kidney stone can lead to hematuria (blood in the urine), which may darken the urine. However, the symptoms described are more indicative of a urinary tract infection.
Choice D rationale
Liver disease can cause dark urine due to the presence of bilirubin, but it does not typically cause cloudiness or an unpleasant odor. Dark urine in liver disease is usually accompanied by other symptoms such as jaundice, pale stools, and fatigue. The combination of dark, cloudy urine with an unpleasant odor is more suggestive of a urinary tract infection. .
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