1.) What is Interferon-Gamma Release Assays (IGRA) test?
2.) What does a positive and negative test mean? - correct answer-1.) Measure how
the immune system reacts to the bacteria that cause TB.
2.) Positive IGRA: (Have TB, past or present) Means that the person has been
infected with TB bacteria. Additional tests are needed to determine if the person has
latent TB infection or TB disease (current).
Negative IGRA: (Never had TB) Means that the person's blood did not react to the
test and that latent TB infection or TB disease is not likely.
1.) What is the purpose of a sputum culture?
2.) When should it be obtained - correct answer-1.) Identify agent causing infection
2.) Best obtained in morning
A client had a Mantoux test result of an 8-mm induration. When should the nurse
interpret the test as positive? When the client:
A.Lives in a long-term care facility.
B.Has no known risk factors.
C.Is immunocompromised.
D.Works as a health care provider in a hospital. - correct answer-Answer: C. Is
immunocompromised.
, A client has a positive reaction to the Mantoux test. How should the nurse interpret
this reaction. The client has:
A. Active tuberculosis.
B. Been exposed to Mycobacterium tuberculosis.
C. Developed a resistance to tubercle bacilli.
D. Developed passive immunity to tuberculosis. - correct answer-Answer: B. Been
exposed to Mycobacterium tuberculosis.
A client with a suspected diagnosis of lung cancer has a bronchoscopy with biopsy.
Following the procedure, what nurse should the nurse be a nursing priority?
A. Encourage the client to gargle with oral lidocaine to decrease throat irritation.
B. Monitor the client for signs of pneumothorax.
C. Administer pain medication as needed to relieve mediastinal discomfort.
D. Advise the client not to talk until the gag reflex returns. - correct answer-Answer:
B. Monitor the client for signs of pneumothorax.
ABC is always priority and respiratory risk is present
A client with newly diagnosed chronic obstructive disease is to be discharged home
with oxygen per nasal prongs. Which teaching points should the nurse include in this
client's discharge plan? Select all that apply.
1.Apply petroleum jelly on lips and nose to prevent dryness and irritation.
2.Avoid areas where people are smoking cigarettes or cigars.
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