A 32-Year-Old Nurse Is Evaluated 3 Days After Being Exposed

question 128

Multiple Choice

A 32-year-old nurse is evaluated 3 days after being exposed to a patient with active pulmonary tuberculosis.  The source patient presented with cough, and a chest radiograph revealed a cavitary lung lesion.  His sputum testing returned positive for acid-fast bacilli.  The nurse cared for the patient for several hours without using respiratory precautions before airborne isolation precautions were implemented.  She has had no symptoms and has no prior medical problems.  Her only medication is an oral contraceptive.  Vital signs are within normal limits, and physical examination shows no abnormalities.
Tuberculin skin test (TST) is administered and reveals a 2-mm induration at 48 hours.
Which of the following is the most appropriate next step in management of the nurse?

• A)Clinical follow-up only
• B)Interferon gamma release assay now
• C)Repeat TST in 6 months
• D)Repeat TST in 8 to 12 weeks
• E)Treatment with isoniazid for 9 months

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GDP

A rephrased definition: The sum value of all goods and services produced over a specific time frame within a nation's borders.

Net Debt

The total debt of an entity minus its cash and cash equivalents, indicating its actual financial burden.

GDP

Gross Domestic Product (GDP) is the total monetary or market value of all finished goods and services produced within a country's borders in a specific time period.

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The practice of spending more money than is received in revenue, typically referring to government spending that exceeds its receipts.