Question

NURSE TRAVELING TO COUNTRY WITH HIGH TB PREVALANCE TB TEST PRIOR TO TRAVEL IS NEGATIVE Assuming she remains asymptomatic, which one of the following would you recommend?

A) Prophylactic treatment with isoniazid starting 1 month prior to departure and continuing throughout her trip
B) Prophylactic treatment with rifampin (Rifadin) starting 1 month prior to departure and continuing throughout her trip
C) A repeat TB skin test 2 months after she returns
D) A chest radiograph 2 months after she returns
E) An interferon-gamma release assay (IGRA) 6 months after she returns 9.

Answer 1

Option D) A chest radiograph 2 months after she returns is recommended in this scenario.

Step-by-step explanation:

I would recommend option D) A chest radiograph 2 months after she returns.

In this scenario, the student is traveling to a country with a high tuberculosis (TB) prevalence. Although her initial TB test is negative and she remains asymptomatic, it is important to monitor for any potential exposure to TB during her trip. A chest radiograph 2 months after she returns can help detect any active TB infection or signs of TB disease that may have developed after her test prior to travel.