A nurse is planning care for an asymptomatic child with a ...

[ssal]

A nurse is planning care for an asymptomatic child with a positive tuberculin test. The nurse should include which in the plan? Select all that apply.
 
  a. Administration of daily isoniazid (INH)
  b. Instructing family members about administration of isoniazid (INH) to all close contacts of the child
  c. Administration of the Bacillus Cal-mette-Gurin vaccine
  d. Reporting the case to the Health Department
  e. Administration of isoniazid (INH) and rifampin (Rifadin) simultaneously

Question 2

The nurse should implement which interventions for an infant experiencing apnea? Select all that apply.
 
  a. Stimulate the infant by gently tapping the foot.
  b. Shake the infant vigorously.
  c. Have resuscitative equipment available.
  d. Suction the infant.
  e. Maintain a neutral thermal environment.

[akemokai]

Answer to Question 1

A, B, D
After a chest radiograph is obtained, asymptomatic children with positive tuberculin tests and no previous history of TB receive daily isoniazid (INH) for 9 months. Asymptomatic contacts should receive INH for at least 8 to 10 weeks after contact has been broken or until a negative skin test can be confirmed (a second test is taken at least 10 weeks after the last exposure). Reporting cases of TB is required by law in all states in the United States. The Bacillus Calmette-Gurin vaccine is the only anti-TB vaccine available, but it is given only to children who test negative. For asymptomatic TB only isoniazid is administered, not both isoniazid and rifampin together. Rifampin is used if the child has resistance to isoniazid.

Answer to Question 2

A, C, E
An infant having apnea should be stimulated by gently tapping the foot. Resuscitative equipment should be available and the infant should be maintained in a neutral thermal environment. The infant should not be shaken vigorously or suctioned.