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A nurse whose tuberculosis (TB ) skin test result reveals an 8 mm induration obtains a negative chest radiograph, which indicates latent tuberculosis. The employee-health nurse should implement which intervention for this nurse?Repeat the skin test and chest radiograph in three weeks.Administer isoniazid (INH) daily for 6 to 9 months.Give combination therapy of antitubercular drugs for 6 months.Recommend the bacille Calmette-Gu rin (BCG) vaccine.

Question

A nurse whose tuberculosis (TB ) skin test result reveals an 8 mm induration obtains a negative chest radiograph, which indicates latent tuberculosis. The employee-health nurse should implement which intervention for this nurse?Repeat the skin test and chest radiograph in three weeks.Administer isoniazid (INH) daily for 6 to 9 months.Give combination therapy of antitubercular drugs for 6 months.Recommend the bacille Calmette-Gu rin (BCG) vaccine.

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Solution

The appropriate intervention for this nurse would be to administer isoniazid (INH) daily for 6 to 9 months. This is the recommended treatment for latent tuberculosis, which is a state of persistent immune response to stimulation by Mycobacterium tuberculosis antigens without evidence of clinically manifested active TB. The goal of latent TB treatment is to prevent progression to active disease.

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Which of the following is a true statement about the tuberculin skin test?ANSWERIt detects exposure to Mycoplasma tuberculosis.It is a classic example of a type I hypersensitivity reaction.For the test, PPD is injected into the skin of the forearm.The test can differentiate between natural exposures and vaccination against tuberculosis.

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