CMSRN-Pulmonary question with 100% correct answers

CMSRN-Pulmonarywhile performing a hospital admission assessment, the nurse identifies which of the following factors that increases the patients risk for TB ocompromised state 2. pneumonia and SLE 3. refusal of the influenza vaccine during the current flu season 4. African American race - correct answer 1. an Immunocompromised state is a risk factor for TB, normal defense mechanisms are not functioning to combat i nfection. The nurse is evaluating results of the TB skin test using purified protein derivative. which of the following patients would the nurse determine to have a positive reaction with a response of 5mm induration 1. 32 yo who moved from equador last year 2. 30 yo with ESKD 3. 27 yo who use IV drugs 4. 24 yo with active HIV - correct answer 4. a pt. with HIV has a positive response to PPD with an induration of 5mm or more. anyone who has moved within the last 5 years from a country with prevalence of TB would have a positive response with induration 10mm or more. for persons at low risk for TB a positive response is noted with induration of 15mm or more a patient recently diagnosed with mild obstructive sleep apnea asks the nurse if he can make lifestyle changes to improve his condition. which of the following changes does the nurse identify as contributing to improvement in symptoms 1. daytime napping 2. weight loss 3. use of sedatives at bedtime 4. decrease in activity level - correct answer 2. weight loss. mild OSA can be improved by weight loss. sedatives and alcohol should be avoided 3-4 hours before bedtime. Daytime napping and decreased activity do not have an effect on OSA