Identify the action by the public health nurse that best reduces the risk for infection of a man who now has a positive purified protein derivative (PPD) skin test and whose wife was recently diagnosed with active pulmonary tuberculosis.
A)Obtain a list of names of other persons his wife has come into contact with.
B)Instruct the man that he has to remain in isolation for 1 week.
C)Begin a 6- to 12-month course of treatment with rifampin (Rafadin).
D)Readminister the PPD because it may be a false positive.

Question

Quizplus · Accepted Answer

The best action is to begin a 6- to 12-month course of treatment with rifampin, as this is the standard treatment for latent tuberculosis infection. Obtaining a list of names of other persons his wife has come into contact with may be necessary for contact tracing, but it does not directly reduce the man's risk of infection. Instructing the man to remain in isolation for 1 week is not a sufficient response, as the risk of transmission can persist beyond 1 week. Readministering the PPD is not necessary, as a positive result is indicative of latent tuberculosis infection and further testing is not required.

Identify the Action by the Public Health Nurse That Best