NCLEX General prep (pt 2)
The client in an alcohol treatment program asks the nurse, "Why do we need to talk about relapse? I know I'll never drink again." Which response by the nurse is best? "Relapse prevention is important in follow-up care." "Anyone can slip. Relapse commonly occurs during the first few months after a treatment program."
"Anyone can slip. Relapse commonly occurs during the first few months after a treatment program."
A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching? "Elevating my leg will reduce swelling after the procedure." "I should use my heating pad this evening to reduce some of the pain in my knee."
"I should use my heating pad this evening to reduce some of the pain in my knee."
A client in the fourth stage of labor asks to use the bathroom for the first time since giving birth. The client has oxytocin infusing. What is the nurse's best response? "You can go to the bathroom whenever you need to." "here`s a bedpan." "I will get someone to help."
"I will get someone to help." Explanation: The nurse should tell the client that she may use the bathroom with the nurse's assistance. The nurse should assist the client into a sitting position with legs dangling at the side of the bed to assess for dizziness. It is appropriate to have two people assist for the client's first trip to the bathroom after giving birth because it is common for a client to feel faint at this time.
The mother of a 2-year-old who has been bitten by the family dog asks the nurse what to do about the bite, which appears to be a minor injury. What should the nurse tell the mother? "You need to take the child to the local urgent-care center immediately." "Wash the bite area with lots of running water, and then call your health care provider (HCP)."
"Wash the bite area with lots of running water, and then call your health care provider (HCP)." Explanation: General wound care is appropriate initially. This includes washing the bite area with lots of water because infections occur frequently with animal bites, especially those on the arms or hands. Next, the mother should be advised to follow up with the child's HCP. A trip to the local care center would be warranted if the bite injury was extensive or there was severe bleeding
TCA side effect
- anticholinergic: dry mouth, constipation, difficulty emptying bladder - serotonergic effect: nausea, gastric, discomfort, vomiting, anorexia, serotonin syndrome
these signs are common with which degree burns; dry and blanched, also known as superficial
1st degree burns
these signs are common with which degree burns;dry waxy white, black, leathery, also known as full thickness
3rd degree burns
A nurse is preparing to help a client with weakness in the right leg move from the bed to a wheelchair. Where should the nurse place the chair? Perpendicular to the bed on the left side 45 degrees to the bed on the left side
45 degrees to the bed on the left side
PTT Range on Heparin
46-70
Normal map
>65mmhg
Complication of pneumonia with refractory hypoxemia low PaO2 - resistant to oxygen and
Acute respiratory distress syndrome
Hyperventilation Diaphoresis Home is "safe" Parent has similar condition Avoids going to stores are signs of which disease Agoraphobia Panic Attack Social Anxiety Disorder S.A.D
Agoraphobia Hyperventilation Diaphoresis and Avoids going to stores are signs of S.A.D
Always remove dentures and soak when taking Nystatin true or false
Always remove dentures and soak when taking Nystatin true
Diseases affecting brain and spinal cord
Alzheimer's Parkinson's Multiple sclerosis Huntington
This group believes that Usually, Amish do not have health insurance because it is a "worldly product" and may show a lack of faith in God.
Amish group
Total body paralysis that leads to respiratory failure and increased respiratory secretions
Amyotrophic lateral sclerosis
This group believes that Health is a state of physical and spiritual harmony with nature and a balance between positive and negative energy forces (yin and yang).
Asian American
Causes of respiratory acidosis
Bronchitis, CNS depressants, Atelectasis, pulmonary edema pulmonary embolism, pneumonia emphysema, asthma
This religious group are lacto ovo vegetarian
Buddhism
Acute onset Change in mental status Hallucinations Inability to track a conversation are signs of which disease CVA Dementia
CVA
Antidote for Magnesium Toxicity
Calcium Glutonate... *Administer slowly
Drugs to avoid with MAOI`s
Calcium, anti acids, acetaminophen, NSAID`s
This sign is contraction of facial muscles in response to a light tap over the facial nerve in front of the ear. Causes a smile
Chvostek's sign
This hearing loss is caused by any physical obstruction to the transmission of sound waves.
Conductive hearing loss
Bruising around the belly button
Cullen's sign
Causes of metabolic acidosis
DKA, diarrhea, renal failure, shock
This drug is used for IBS, and has an anticholinergic effect, helps with spasm
Dicyclomine
Appoints a person (health care proxy) chosen by the client to make health care decisions on the client's behalf when the client can no longer make decisions.
Durable power of attorney for health care:
This TB drug causes blurred vision and eye color changes
Ethambutol
Dopamine causes bradycardia true or false
False Dopamine causes tachycardia
True or false Eat protein with levodopa
False Protein blocks absorption with levodopa
True or false females have higher risk of getting renal stones
False males have higher risk of getting renal stones
Antidote for benzodiazepines
Flumazenil
SSRI side effects
GI upset, sexual dysfunction, nervousness, headaches, dry mouth, suicide risk,
rapidly ascending paralysis. Inability to cough and lift eyebrows
Gillian barre syndrome
Treatment for athritic pain. May cause hypoglycemia when taken with other DM meds
Glucosamine
These laws encourage health care professionals to assist in emergency situations and limit liability and offer legal immunity for persons helping in an emergency, provided that they give reasonable care.
Good Samaritan law
This religious group Manyare vegetarians; those who eat meat do not eat beefor pork. Fasting rituals vary. Children are not allowed to participate in fasting.
Hinduism
Tall peaked T waves, flat P waves, widened QRS complexes, and prolonged PR intervals
Hyperkalemia
Prolonged PR interval Widened QRS complexes
Hypermagnesemia
Corticosteroids b. Cushing's syndrome c. Kidney disease d. Hyperaldosteronism Increased water loss: Increased rate of metabolism, fever, hyperventilation, infection, excessive diaphoresis, watery diarrhea, diabetes insipidus causes which electrolyte imbalance
Hypernatremia
Electrocardiogram changes: ST depression; shallow, flat, or inverted T wave; and prominent U wave for this condition
Hypokalemia
Excessive use of medications such as diuretics or corticosteroids b. Increased secretion of aldosterone, such as in Cushing's syndrome c. Vomiting, diarrhea d. Wound drainage, particularly gastrointestinal e. Prolonged nasogastric suction f. Excessive diaphoresis g. Kidney disease impairing reabsorption of This electrolyte which electrolyte condition is this?
Hypokalemia
In the progressive stage of shock, the client can display listlessness or agitation, confusion, and slowed speech. Restlessness occurs in the compensatory stage. Incoherent speech and unconsciousness are clinical manifestations of the irreversible stage. true or false
In the progressive stage of shock, the client can display listlessness or agitation, confusion, and slowed speech. Restlessness occurs in the compensatory stage. Incoherent speech and unconsciousness are clinical manifestations of the irreversible stage. true
These directives: Lists the medical treatment that a client chooses to omit or refuse if the client becomes unable to make decisions and is terminally ill.
Instructional directives:
NPO, NGT, IVF, Monitor sugar, No morphine
Intervention for pancreatitis
This drug infers with B6 resulting in peripheral neuropathy. B6 is encouraged. Also causes yellow skin and sclera and dark urine.
Isoniazid
In this religious group Any foods to which blood has been added are prohibited. They can eat animal flesh that has been drained.
Jehovah's Witness
In this religious group Orthodox believers need to adhere to dietary kosher laws: ▪ Meats allowed include animals that are vegetable eaters, cloven-hoofed animals (deer, cattle, goats, sheep), and animals that are ritually slaughtered. ▪ Fish that have scales and fins are allowed. ▪ Any combination of meat and milk is prohibited; fish and milk are not eaten together.
Judaism
two fluids that can be used for a patient with burns
LR, 0.9 NS
This kind of vegetarians eat milk, cheese, and dairy foods but avoid meat, fish, poultry, and eggs.
Lacto-vegetarians
This drug, decreases ammonia levels (allows good mental status) in cirrhosis patients. By passing out ammonia in stools 2-3 times a day. it is a type of laxative
Lactulose
This group Use of a professional interpreter is important because of privacy concerns and because accuracy of communication is made clearer. 3. Silence indicates respect for the speaker for some groups. 4. Some members may speak in a low tone of voice and expect others to be attentive. 5. Eye contact may be viewed as a sign of disrespect. 6. Body language is important.
Latino Americans
Shockwave used to break up stones
Lithrotripsy
Torsades De Pointes Treatment
Magnesium sulfate
Airbourne Precautions
Measles Tb Varicella
myelin sheath is attacked by autoimmune cells and causes muscle spasms and stiffness. Avoid stress sickness or sepsis, smoking n sun treated with IVIG and cyclosporine
Multiple sclerosis
an autoimmune disease where cells attacks acetylcholine receptors m. The body is dry as this causes less secretions treated with cholinergic
Myasthenis Gravis
Disease affecting PNS
Myasthenis Gravis Gillian barre syndrome Amyotrophic lateral sclerosis
Basal metabolic panel
Na, K, Cl, CO2, Cr, BUN, Glucose
Damage at T6 or higher
Neurogenic shock
Signs of TB
Night sweats Anorexia Blood tinged sputum Dyspnea and SOB Fever and chills
A pregnant client asks the nurse whether she can take castor oil for her constipation. How should the nurse respond?
No, it can initiate premature uterine contractions.
A school-age child with glomerulonephritis reports a headache and blurred vision. What immediate action should the nurse take? Notify the health care provider (HCP). Obtain the child's blood pressure.
Obtain the child's blood pressure.
This therapist develops adaptive devices that help chronically ill or handicapped clients to perform activities of daily living.
Occupational therapist:
antiemetic drug which causes serotonin syndrome. Gives before chemotherapy
Odansetron
This kind of vegetarians: The only animal foods that they consumes are eggs, which are an excellent source of complete proteins.
Ovo-vegetarians
must be eaten with meal or snack. this is the only medication that the capsule can be open to put on meals. this drug allows minimal fatty stools
Pancrelipase
This disease has low dopamine shuffling gaits, tremors, and pill rolling give levodopa and carbidopa
Parkinson's disease
Droplet precautions are used for these diseases
Pertusis Influenza Meningitis Pneumonia
This therapist assists in examining, testing, and treating physically disabled clients.
Physical therapist:
Complication of pneumonia that's causes pleural friction rub
Pleurisy
this is generally last 3 to 14 days and are characterized by sadness, anxiety, appetite problems, difficulty sleeping, and crying spells. This client's signs and symptoms are more severe and have lasted 6 weeks.
Postpartum blues
this includes manifestations such as delusions, hallucinations, and paranoia, which the client is not experiencing. Dysthymia is persistent depression. This client's depression started after birth, and there is no history of depression prior to this pregnancy.
Postpartum psychosis
Potassium infusion can cause phlebitis; therefore, the nurse should assess the IV site frequently for signs of phlebitis or infiltration. If either occurs, the infusion should be stopped immediately. ▪ The nurse should assess renal function before administering potassium, and monitor intake and output during administration. True or false
Potassium infusion can cause phlebitis; therefore, the nurse should assess the IV site frequently for signs of phlebitis or infiltration. If either occurs, the infusion should be stopped immediately. ▪ The nurse should assess renal function before administering potassium, and monitor intake and output during administration.
This drug causes water gain, sepsis due to risk of infection and illness, Increase Sugar levels, osteoporosis, risk for cataracts. drugs must be slowly taper off to prevent addisonian crises, and for stress and surgery dose is increased
Prednisone
Prepare for the administration of IV calcium if hyperkalemia is severe, to avert myocardial excitability. True or false
Prepare for the administration of IV calcium if hyperkalemia is severe, to avert myocardial excitability true
Flank pain, hematuria, drink up to 3L of water start with least invasive procedure first, encourage patient to walk. Restrict protein and purine
Renal stones
This therapis delivers treatments designed to improve the client's ventilation and oxygenation st
Respiratory therapist
This drug causes orange and red urine tears and sweat. Always wear glasses no contacts, Use non hormonal back up birth control, monitor for jaundice
Rifampin
In this test Stem of the vibrating tuning fork is placed on the client's mastoid process. b. When the client no longer hears the sound, the tuning fork is quickly inverted and placed near the ear canal; the client should still hear a sound.
Rinne test
Hypotension Tachycardia Low central venous pressure (2-6) Cold and clammy skin
Signs of hypovolemic shock
Fever, rebound tenderness, rigid abd, increase pain, restless, fast HR and RR
Signs of peritonitis
Contact precaution is needed for these diseases
Skin infections, such as cutaneous diphtheria, herpes simplex, impetigo, pediculosis, scabies, staphylococci, and varicella zoster g. Eye infections, such as conjunctivitis
These therapist evaluates a client's ability to swallow safely and effectively and communicates a plan to improve a client's swallowing ability
Speech therapist:
An appropriate nursing diagnosis for a bedridden and hospitalized client who tells the nurse that they are upset because they haven't missed a Methodist church service in 50 years is: spiritual need as evidenced by verbalization and distress at missing Methodist church services. Spiritual distress related to inability to attend church services evidenced by verbal states of guilt.
Spiritual distress related to inability to attend church services evidenced by verbal states of guilt. people with Spiritual dysfunction or Spiritual distress may verbalize such distress or express a need for help.
SSRI syndrome happens when you take SSRI with tramadol, St. John's wart and MAOI
Sweaty, rigid muscles increase heart rate.
Medications for this disease last 6 - 12 months,, N95 is worn, Family should be tested, sputum is collected every 2-4 weeks, 3 negative cultures must be done on 3 different days to be no longer infected.
TB
ECG indication of hyperkalemia
Tall peaked t waves
This chart is a simple tool used to measure distance vision.
The Snellen eye chart
This, reflects acknowledgment of a client's right to participate in her or his health care with an emphasis on client autonomy
The client's rights document, also called the Client's (Patient's) Bill of Rights
A nurse gives a client the wrong medication. After assessing the client, the nurse completes an incident report. Which statement describes what will happen next? The incident will be documented in the nurse's personnel file. The incident report will provide a basis for promoting quality care and risk management.
The incident report will provide a basis for promoting quality care and risk management.
This sign is a carpal spasm induced by inflating a blood pressure cuff (C) above the systolic pressure for a few minutes
Trousseau's sign
estrogen and progesteron contraceptives effect is blood clots. True or false
True
true or false A neonate born at 42-weeks' gestation is considered postmature, and would have creases over the entire sole. An infant born after 37 weeks would have creases over the anterior two-thirds of the sole. Very premature infants have no creases or only very faint red lines over the anterior aspect of the foot.
True A neonate born at 42-weeks' gestation is considered postmature, and would have creases over the entire sole. An infant born after 37 weeks would have creases over the anterior two-thirds of the sole. Very premature infants have no creases or only very faint red lines over the anterior aspect of the foot.
Because hypocalcemia frequently accompanies hypomagnesemia, interventions also aim to restore normal serum calcium levels. True or false
True Because hypocalcemia frequently accompanies hypomagnesemia, interventions also aim to restore normal serum calcium levels.
true or false Early signs and symptoms of hypermagnesemia include drowsiness, lethargy, nausea, and vomiting. Flushed skin is a sign of hypernatremia. Severe thirst is associated with hyperglycemia. Tremors are associated with hypomagnesemia.
True Early signs and symptoms of hypermagnesemia include drowsiness, lethargy, nausea, and vomiting. Flushed skin is a sign of hypernatremia. Severe thirst is associated with hyperglycemia. Tremors are associated with hypomagnesemia.
True or false always Call the local organ procurement representative to meet with family who want to donate any usable body organs so their loved one can live on in others.
True always Call the local organ procurement representative to meet with family who want to donate any usable body organs so their loved one can live on in others.
If the client is taking lithium, monitor the lithium level, because hyponatremia can cause diminished lithium excretion, resulting in toxicity
True If the client is taking lithium, monitor the lithium level, because hyponatremia can cause diminished lithium excretion, resulting in toxicity
An individual who is at least 18 years old may indicate a wish to become a donor on his or her driver's license (state-specific) or in an advance directive. True or false
True An individual who is at least 18 years old may indicate a wish to become a donor on his or her driver's license (state-specific) or in an advance directive
Carbamazepine makes oral contraceptives ineffective true or false
True Carbamazepine makes oral contraceptives ineffective
NMS are a complication of typical antipsychotic
True NMS are a complication of typical antipsychotic
True or false Nurses need their own liability insurance for protection against malpractice lawsuits. 2. Having their own insurance provides nurses protection as individuals; this allows the nurse to have an attorney, who has only the nurse's interests in mind, present if necessary.
True Nurses need their own liability insurance for protection against malpractice lawsuits. 2. Having their own insurance provides nurses protection as individuals; this allows the nurse to have an attorney, who has only the nurse's interests in mind, present if necessary.
Spo2 is placed on forehead instead of extremities for hypovolemic shock patients. True or false
True Spo2 is placed on forehead instead of extremities for hypovolemic shock patients
Stab pen into outer thigh and hold for 10 seconds when using an epi pen true or false
True Stab pen into outer thigh and hold for 10 seconds when using an epi pen
Store epi pen in dark places at room temperature true or false
True Store epi pen in dark places at room temperature
The Uniform Anatomical Gift Act provides a list of individuals who can provide informed consent for the donation of a deceased individual's organs true or false
True The Uniform Anatomical Gift Act provides a list of individuals who can provide informed consent for the donation of a deceased individual's organs
True or false To prevent infection and solution incompatibility, IV medications and blood are not given through the PN line.
True To prevent infection and solution incompatibility, IV medications and blood are not given through the PN line.
True or false Vitamin D aids in the absorption of calcium from the intestinal tract.
True Vitamin D aids in the absorption of calcium from the intestinal tract.
True or false With carbamazepine oral contraceptives are ineffective so use other methods
True With carbamazepine oral contraceptives are ineffective so use other methods
True or false give saline and lower the head of bed when a patient is in hypovolemic shock
True give saline and lower the head of bed when a patient is in hypovolemic shock
This test is Used to measure hearing on the basis of air conduction or bone conduction; includes the Weber and Rinne tests
Tuning fork test
Bruising on the flanks or side of the body
Turners Sign
Causes of metabolic alkalosis
Vomiting, NGT, diuretics hyperaldosteronism
This test Determines whether the client has a conductive or sensorineural hearing loss b. Stem of the vibrating tuning fork is placed in the midline of the client's skull and the client is asked if the tone sounds the same in both ears or better in 1 ear.
Weber test
Antidote for asparin
activated charcoal
A client who is quadriplegic suddenly becomes flushed and diaphoretic above the level of the spinal injury. What is the nurse's initial response? assessing blood pressure for hypotensive crisis ]assessing blood pressure for hypertension
assessing blood pressure for hypertension
A 12-year-old child is admitted to the pediatric unit with the diagnosis of a possible brain tumor. Which assessment would be the priority for the nurse? : change in vital signs behavioral changes
behavioral changes
This hearing loss is caused by a defect in the cochlea, eighth cranial nerve, or the brain itself
e. Sensorineural hearing loss
One of the most common maternal side effects after this drug is hypotension. Therefore, the blood pressure must be assessed frequently after administration of this type of anesthesia. Other side effects include bladder distention, a prolonged second stage of labor, pruritus, nausea and vomiting, and delayed respiratory depression.
epidural anesthesia
true or false in circulatory overload stop the blood transfusion
false in circulatory overload slow the blood. elevate bed head, give oxygen, push diuretics, stop IV fluids
buspirone causes sedation. True or false
false, buspirone causes no sedation
A postpartum nurse should provide care that is focused on the mother and neonate. family-centered.
family-centered.
A school-age child is admitted to the hospital with acute rheumatic fever with chorea-like movements. Which eating utensil should the nurse remove from the meal tray? fork spoon cup
fork
these signs are common with which degree burns; no pain and also full thickness
fourth degree burn
To protect a client's skin under a back brace, the nurse should: place padding as necessary for a snug fit. have the client wear a close-fitting thin cotton shirt under the back brace.
have the client wear a close-fitting thin cotton shirt under the back brace.
low back pain and apprehension are signs of which blood transfusion rxn
hemolytic rxn
asterixis, confusions and bizarre behavior sleepiness assess hand movement with arms extended
hepatic encephalopathy
Shortened ST segment Widened T wave
hypercalcemia
Causes of respiratory alkalosis
hyperventilation, sepsis, hypoxia, DKA, infection, stroke, toxins, lung dz Tx: pain control, CO2 rebreathing fever and pain
Prolonged ST segment Prolonged QT interval
hypocalcemia
Tall T waves Depressed ST segment
hypomagnesemia
Which factor is most important to assess when determining the impact of the cancer diagnosis and treatment modalities on a long-term survivor's quality of life? functional status individual values and beliefs
individual values and beliefs
Which finding in a client diagnosed with asthma would require a nurse to take immediate action? anhidrosis wheezing lethargy
lethargy Lethargy can be a manifestation of status asthmaticus. Anhidrosis, cough, and diaphoresis should be further assessed.
The nurse should assess the client with multiple sclerosis for which associated complications psychosomatic illnesses mood disorders
mood disorders
foods to avoid with MAOI`S
no fermented alcohol, beer sausage and salami, chocholate.
Which of the following actions is correct when the student nurse assesses the fontanels of a 6-week-old infant? noting the shape of the fontanels while the infant lies flat palpating the fontanels gently while the infant sits on the parent's lap
palpating the fontanels gently while the infant sits on the parent's lap
which lab should be focused on when a patient is on heparin?
platelet
this is often diagnosed between 4 weeks and 1 year postpartum and is characterized by crying episodes, mood swings, inability to concentrate, poor appetite, feeling overwhelmed, difficulty caring for self or newborn, and withdrawing.
postpartum depression
While giving report to the oncoming night shift, the charge nurse smells alcohol on the breath of one of the nurses. The charge nurse should: assess the nurse's behavior for signs of intoxication. report this to the nursing supervisor immediately.
report this to the nursing supervisor immediately.
A client brought by ambulance to the emergency department after taking an overdose of barbiturates is comatose. The nurse should assess the client for which complication? status epilepticus respiratory failure
respiratory failure
these signs are common with which degree burns; red moist shiny fluid filled vesicles, also know as partial thickness, dermis and epidermis is damaged
second degree burns
what to do when a child develops vomiting and diarrhea during chemotherapy
stop the therapy flush line and give odansetron
this drug is given for inflammatory bowel disease (ulcerative colitis and chrons disease ) also an immunosuppressent, causes yellow or orange urine and skin
sulfasalazine
Asparin toxicity signs
tinnitus hyperventilation
true or false levodopa-carbidopa therapy for Parkinson's disease, causes urine to appear darker than usual
true levodopa-carbidopa therapy for Parkinson's disease, causes urine to appear darker than usual
Weight is a good indicator of hydration in infants. Accurate measurement of intake and output is essential. Weighing diapers is a way of measuring output only. Blood levels may be obtained daily or every other day. A urinalysis every eight hours is not necessary. Urine specific gravities are recommended but can be obtained with diaper changes True or false
true Weight is a good indicator of hydration in infants. Accurate measurement of intake and output is essential. Weighing diapers is a way of measuring output only. Blood levels may be obtained daily or every other day. A urinalysis every eight hours is not necessary. Urine specific gravities are recommended but can be obtained with diaper changes
do not give OTC drugs to CHF patients. True or false
true do not give OTC drugs to CHF patients.
he transmission of SARS isn't fully understood. Therefore, all modes of transmission must be considered possible, including airborne, droplet, and direct contact with the virus. For protection from contracting SARS, any healthcare worker providing care for a person with SARS should wear a gown, gloves, mask, and eye goggles or an eye shield. true or false
true the transmission of SARS isn't fully understood. Therefore, all modes of transmission must be considered possible, including airborne, droplet, and direct contact with the virus. For protection from contracting SARS, any healthcare worker providing care for a person with SARS should wear a gown, gloves, mask, and eye goggles or an eye shield.
ARDS (acute respiratory distress syndrome) and peritonitis are complications of Pancreatitis true or false
true ARDS (acute respiratory distress syndrome) and peritonitis are complications of Pancreatitis
PTT levels should be between 46-70. if PTT is above 70 do not give. true or false
true PTT levels should be between 46-70. if PTT is above 70 do not give
true or false Pelvic rocking helps to relieve backache during pregnancy and early labor by making the spine more flexible. Deep-breathing exercises assist with relaxation and pain relief during labor. Tailor sitting and squatting help stretch the perineal muscles in preparation for labor.
true Pelvic rocking helps to relieve backache during pregnancy and early labor by making the spine more flexible. Deep-breathing exercises assist with relaxation and pain relief during labor. Tailor sitting and squatting help stretch the perineal muscles in preparation for labor.
do not mix antacids with other meds. Give 1 hour before other meds true or false
true do not mix antacids with other meds. Give 1 hour before other meds
true or false high benzos can depress respiration
true high benzos can depress respiration
These supplements are high risk for bleeding
vitamin E Ginger garlic ginko biloba gingseng omega 3
Positive TST Reaction:
•Swelling at injection site is more than 5mm in diameter in patients that have: ▪had contact with infectious TB ▪are immunocompromised •Induration more than 10mm in diameter in: ▪immigrants from countries where TB is prevalent ▪medically under-served groups ▪the homeless •Induration of more than 15mm is considered positive for low risk patients