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Author Question: Bernice is a 34-year-old nurse who works for a home health agency. She had her annual TB test ... (Read 32 times)

saraeharris

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on: Jul 22, 2018
Bernice is a 34-year-old nurse who works for a home health agency. She had her annual TB test administered 56 hours ago. The injection site is very red and flat. The certified nurse who is reading Bernice's test should do which of the following?
 
  A. Advise Bernice not to return to work.
  B. Request a chest x-ray.
  C. Document the results as a negative reaction.
  D. Measure the area in millimeters and document the reaction.

Question 2

A registered nurse is caring for a patient who was admitted to the hospital after being involved in a motor vehicle accident. The patient has undergone two surgeries and now has a health careacquired infection. Multiple medications were ordered.
 
  Which of the following would be least appropriate for the nurse to administer to reduce the fever? A. Acetaminophen
  B. Corticosteroid
  C. Ibuprofen
  D. Indomethacin


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jaaaaaaa

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Reply #1 on: Jul 22, 2018
Answer to Question 1

C
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. A reddened flat area is not a positive reaction, and you do not need to measure it.

Answer to Question 2

B
Nonsteroidal drugs such as acetaminophen, salicylates, indomethacin, ibuprofen, and ketorolac reduce fever by increasing heat loss. Health care providers generally order antipyretics if a fever is high than 39 C (102.2 F). Corticosteroids reduce heat production by interfering with the hypothalamic response. These drugs mask signs of infection by suppressing the immune system. Corticosteroids are not used to treat a fever.


saraeharris

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Reply #2 on: Jul 22, 2018
Both answers were spot on, thank you once again


jaaaaaaa

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Reply #3 on: Jul 22, 2018
Great! Please up vote :D


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