A health care worker received an annual tuberculosis test ...

[madam-professor]

A health care worker received an annual tuberculosis test administered 56 hours ago. The injection site is very red and flat. The certified nurse who is reading the test should take which action?
 
  a. Advise the health care worker another test must be done because the test was not read within the proper time.
  b. Tell the health care worker the results are positive and cannot return to work.
  c. Document the results as a negative reac-tion.
  d. Measure the area in millimeters.

Question 2

Which of the following health care insurance programs is likely the most suitable for a 68-year-old client?
 
  A) Medicaid
  B) Medicare
  C) Capitation
  D) AmeriCare

[macmac]

Answer to Question 1

C
A reddened flat area is not a positive reaction, and you do not need to measure it.
Tuberculosis skin testing positive results is a palpable, elevated, hardened area around the injec-tion site, caused by edema and inflammation from the antigen-antibody reaction, measured in millimeters. Tuberculin skin tests are read between 48 and 72 hours so the health care worker came at the right time (56 hours).

Answer to Question 2

B
Feedback:
Medicare is a federal program that finances health care costs of persons aged 65 years and older, permanently disabled workers of any age and their dependents, and those with end-stage renal disease. The system is funded primarily through withholdings from an employed person's income. Capitation is a reimbursement strategy in managed care organizations. AmeriCare is a type of private insurance. Capitation and AmeriCare are not the preferred providers for the client, considering the client's age. Medicaid is a federal program that is operated by the states, and each state decides who is eligible and the scope of health services offered. In Medicaid, eligibility may be decided by the state, which is not the case in Medicare.