A patient who had a Mantoux test for tuberculosis two days ago ...

[2125004343]

A patient who had a Mantoux test for tuberculosis two days ago has a 2 mm area of erythema at the site of the test. The nurse concludes that this patient's response
 
  1. is negative.
  2. is positive for tuberculosis.
  3. should be followed up with a tine test.
  4. is unable to determine the presence of tuberculosis.

Question 2

A patient with a lung abscess is being discharged from the hospital. What should be included in this patient's discharge instructions?
 
  1. Complete the entire prescription of antibiotics.
  2. Expect symptoms to become worse.
  3. Return to routine activities of daily living.
  4. Lung abscesses rarely cause other problems once treatment is started.

[jaykayy05]

Answer to Question 1

Correct Answer: 1
Intradermal PPD or Mantoux test is read within 48 to 72 hours, the peak reaction period, and recorded as the diameter of induration (raised area, not erythema) in millimeters. The area on the patient is erythematous, not an induration. No follow up is needed as this patient's response is by definition a negative one.

Answer to Question 2

Correct Answer: 1
Patient and family teaching focuses on the importance of completing the prescribed antibiotic therapy. Most lung abscesses are successfully treated with antibiotics; however, treatment may last up to one month or more. Emphasize the importance of completing the entire course of therapy to eliminate the infecting organisms. Teach about the medication, including its name, dose, and desired and adverse effects. Stress the need to contact the physician if symptoms do not improve or if they become worse. Infection from lung abscess can spread not only to lung and pleural tissue but systemically, and cause sepsis.

[2125004343]

Thank you

[jaykayy05]

No problemo