Author Question: Which patient should begin treatment for tuberculosis? a. A patient with HIV and a tuberculin ... (Read 70 times)

tingc95

  • Hero Member
  • *****
  • Posts: 556
Which patient should begin treatment for tuberculosis?
 
  a. A patient with HIV and a tuberculin skin test result of a 4-mm region of induration
  b. A recent immigrant from a country with a high prevalence of TB with a 10-mm re-gion of induration
  c. A patient with no known risk factors who has a job-related tuberculin skin test result of a 12-mm area of induration
  d. An intravenous drug abuser with a tuber-culin skin test result of a 5-mm region of induration

Question 2

A patient who is receiving reperfusion therapy has a history of heparin-induced thrombosis (HIT). The patient has a creatinine clearance of 28 mL/min.
 
  In addition to the fibrinolytic agent, which medication will the nurse expect to administer to this patient? a. Aspirin
  b. Bivalirudin Angiomax
  c. Clopidogrel Plavix
  d. Fondaparinux Arixtra



xoxo123

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

B
The immigrant is considered to be at moderate risk, meaning that a 10-mm area of induration on a tuberculin skin test (TST) is considered a positive result. After being evaluated for active TB, this patient should be treated for latent TB. A patient with HIV is considered high risk, but this patient has a negative TST result of less than 5 mm. For a low-risk patient receiving a screening TST for a job, the area of induration must be 15 mm or greater to be considered a positive result. An IV drug abuser is in the moderate-risk category; an area of induration of 10 mm or greater is needed to be considered a positive TST result.

Answer to Question 2

B
Patients receiving a fibrinolytic medication will also need an anticoagulant to reduce the risk of thrombosis. This patient cannot receive heparin because of the history of HIT, so he or she will need either bivalirudin or fondaparinux. Bivalirudin may be used at reduced doses in patients with a creatinine clearance less than 30 mL/min, but fondaparinux is contraindicated in such pa-tients. Antiplatelet drugs such as aspirin or clopidogrel are not used for this purpose.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

For a complete list of videos, visit our video library