QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+|
A public health nurse (PHN) is responsible for field triage of a
radiologic disaster. Using the START triage system, triage each
patient.
60 year old man, superficial laceration on arm.
40 year old woman, painful itching rash on exposed skin
15 year old boy, vomiting blood - ANSWER-60 : Green/minor
40: Red/critical
15: Black/Expectant
Explain why latent TB infection is treated. - ANSWER-Treatment
of LTBI is essential to controlling and elliminating TB in the U.S
because it reduces the risk risk that LTBI progresses to TB
disease.
,Describe three treatment regimens for latent TB infection. -
ANSWER-3HP- a combo regimen of isoniazid (INH) and
rifapentine (RPT) *1x weekly for 12 weeks (3 months)
4R - Rifampin (RIF) daily for 4 mon
3HR- a combo of isoniazid (INH) and rifampin (RIF) daily for 3 mo.
6H: Isoniazid (INH) daily or 2x weekly for 6 months
9H: Isoniazid (INH) daily or 2x weekly for 9
months DOT therapy !!
*CDC and NTCA preferentially recommend short-course,
rifamycin-based, 3- or 4month latent TB infection treatment
regimens over 6- or 9-month isoniazid monotherapy. Short-
course latent TB infection treatment regimens are effective, safe,
have a lower risk of hepatotoxicity, and have higher completion
rates than longer 6 to 9 months of isoniazid monotherapy (6H/9H).
• List potential adverse reactions to the drugs used to treat latent
TB infection. - ANSWER-Dizzy or lightheadedness
Loss of appetite
Diarrhea or light-colored stools
SOB, feelings of sadness or depression
Fever, unexplained wt. Loss
Brown urine color, yellowish skin or eyes
Rash
Persistent tingling or pricking sensation in hands or feet
(paresthesia)
,Persistent tiredness or weakness lasting 3 or more days
Stomach pain, easy bruising or bleeding
Joint pain, nausea & vomiting
Briefly describe the preferred treatment regimen for TB disease. –
ANSWER-Isoniazid (INH)
Rifampin (RIF)
Pyrazinamide (PZA)
Ethambutol (EMB)
Rifapentine (RPT)
Moxifloxacin (MOX)
TB 6 or 9 month Tx RIPE TB
Rifampin (RIF),
Isoniazid (INH),
Pyrazinamide (PZA), and
Ethambutol (EMB)
List adverse reactions to drugs used to treat TB disease. -
ANSWER-SERIOUS
Adverse rxns
skin rash, blurred/vision changes
Stomach pain
Brown urine or light colored stool, flu-like syx
Lack of appetite, nausea, vomiting, yellowish skin or eyes
, Dizziness, paresthesia, stomach upset, joint aches, easy bruising
or bleeding
Describe TB treatment adherence strategies. - ANSWER-
Description of tx regimen
Methods of monitoring for adverse rxns
Methods of assessing and ensuring adherence to tx
Methods for evaluating tx. Response
DOT therapy - a health care workers watches the TB pt. Swallow
each dose & ask about side eggects with the medication
Incentives - small rewards given to the pt. Such as gift cards food
voucher Enablers - help the pt. Complete therapy or show up to
DOT appt. Inludes free transportation or public transportation
vouchers
Which is one of the most important strategies recommended by
the Centers for Disease Control and Prevention for reducing the
spread of HIV?
Select one:
a.
Keeping detailed records of all new cases of sexually
transmitted infections in people aged 15 to 24 years b.
Excluding students from school who have symptoms of
sexually transmitted infections c.