The nurse is conducting a free screening for tuberculosis in a ...

[awywial]

The nurse is conducting a free screening for tuberculosis in a large neighborhood clinic. The nurse expects a large showing of clients to take advantage of this free offer.
 
  Which of the following tests would be the most practical for testing a large group of people? A) Tine test
  B) Purified protein derivative TB test
  C) Mantoux TB test
  D) Sputum culture

Question 2

The physical examination is a tool that healthcare providers use to distinguish between normal and abnormal body structure and function. Each healthcare provider has different goals when performing the examination.
 
  What are the primary goals for the primary care provider in performing the physical examination? 1 . Examine the client's functional abilities and ability to move
   2 . Determine the client's level of functioning in self-care
   3 . Assess for abnormalities to establish a medical diagnosis
   4 . Monitor a disease's progression
  A) 1, 2
  B) 1, 4
  C) 2, 3
  D) 3, 4

[lcapri7]

Answer to Question 1

A
Feedback:
The tine test is often used in mass screening. A sterile stainless steel disk with four tines (sharp prongs) is impregnated with PPD and the tines are pressed into the person's skin. The disks are packaged individually and are disposable; thus, they offer a practical advantage when testing a large group of people. The purified protein derivative (PPD) tuberculin test, also known as the Mantoux tuberculin skin test, indicates whether a person has ever been exposed to the tubercle bacillus; however, this test is not as convenient for larger groups as is the tine test. If a person has a positive reaction to the testing, a CXR and a sputum culture are done to determine if the lungs are affected.

Answer to Question 2

D
Feedback:
A physician will look for abnormalities to establish a medical diagnosis, monitor a disease's progression, or evaluate changes in the client's condition. The physician's examination may be extensive and thorough, or it may focus on a particular body area. A physical therapist will examine the client's functional abilities and ability to move, to develop a therapy plan, and monitor the client's progress. Occupational therapists often determine the client's level of functioning in self-care.