A patient receives a Mantoux tuberculin skin test as part of ...

[D2AR0N]

A patient receives a Mantoux tuberculin skin test as part of screening for a new job. The test is administered on a Friday, and the patient returns to the clinic the following Wednesday.
 
  The primary care nurse practitioner (NP) notes a 3-mm area of induration. The patient has no risk factors for tuberculosis (TB). The NP should: a. repeat the test.
  b. record the test as positive.
  c. record the test as negative.
  d. ask about previous TB exposure.

Question 2

A patient is taking sulfisoxazole. The patient calls the primary care NP to report abdominal pain, nausea, and insomnia. The NP should:
 
  a. change to TMP/SMX.
  b. tell the patient to stop taking the drug immediately.
  c. reassure the patient that these are minor adverse effects of this drug.
  d. order a CBC with differential, platelets, and a stool culture.

[kjohnson]

Answer to Question 1

A
If the patient returns after more than 3 days and the results appear negative, the test should be repeated.

Answer to Question 2

C
These side effects are considered common minor side effects of sulfonamide medications. They occur with all drugs in this class, so changing to TMP/SMX is not indicated. The patient should continue taking the medication. It is not necessary to perform laboratory tests.

[D2AR0N]

Gracias!

[parshano]

TYSM