A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicates a positive test?
A reddened area measuring 10 mm
A reddened area measuring 5 mm
An induration measuring 5 mm
An induration measuring 10 mm
The Correct Answer is D
A. A reddened area without induration is not a positive result.
B. A reddened area without induration is not considered positive.
C. An induration of 5 mm is positive only for high-risk groups (e.g., immunocompromised clients).
D. An induration measuring 10 mm is considered positive in most adults, indicating TB exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The risk of overdose is minimized by the device's programming.
B. The medication is limited based on a preset dose and frequency.
C. PCA pumps deliver a controlled dose of medication, preventing overdose by limiting the amount dispensed.
D. Only the client should press the button to ensure safety.
Correct Answer is C
Explanation
A. White flour tortillas contain gluten and should be avoided.
B. Wheat crackers contain gluten and are inappropriate for celiac disease.
C. Potato pancakes are a gluten-free option and appropriate for a client with celiac disease, as they do not contain wheat, barley, or rye.
D. Barley soup contains gluten and is not safe for clients with celiac disease.
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