NURSING transitionhesi v3

PPD Induration
An induration of greater than 15mm following an Intradermal Purified Protein Derivative
(Mantoux Test) indicates what?
Positive test for TB
(assess raised area, not erythema)
An induration of 10-15mm would be positive for:
Birth in country with high TB
African Americans, Hispanic, Asian American in poverty areas
Injectable drug users
LTC Patients
Medical risk factors (malnutrition, DM, etc..)
An induration of 5-9mm indicates what?
People in close contact with infective TB pts
Abnormal chest x-rays
HIV infected patients
Disaster Training - Safety/priority
Nurses own safety first
Red - first priority - immediate treatment
Yellow - 2nd - systemic injury - treat within 30-6- minutes
Green - minor injury - can wait several hours
Black - NO HOPE
Palliative Care-MS
can't swallow, on palliative care, dehydrated, doesn't want IV
Keep him comfortable
Ten years after a female pt was diagnosed with multiple sclerosis (MS), she is admitted to
the community palliative care unit. Which intervention is most important for the nurse to
include in the pt's plan of care?
Medication as needed for pain and anxiety
Hair loss PEDIAlopecia
Frictional hair loss, abnormal
Usually on back of head from laying in crib on back
MODS-central line placement
Central Line Video
D/C Syringe
Resume Iv
Monitor for infiltration
Central line insertion, intubation, and prescription are functions of the physician.