Managing Chronic and Infectious Diseases Flashcards
7 cards from real CCHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Managing Chronic and Infectious Diseases flashcards as text
A correctional nurse discovers that a newly admitted inmate has an HbA1c of 10.2%. What is the most appropriate initial management step?
Answer: Conduct a comprehensive diabetes assessment including current medications, complications, and self-management history
A comprehensive assessment of the inmate's diabetes history, current regimen, and complications is essential before adjusting or initiating treatment.
Which hepatitis C treatment consideration is MOST relevant in a correctional setting?
Answer: Sufficient sentence length to complete a full treatment course is an important eligibility factor
Ensuring inmates have adequate time remaining in their sentence to complete DAA therapy (typically 8–12 weeks) is a key eligibility consideration in correctional settings.
An inmate with HIV has a viral load of 2,500 copies/mL despite reporting adherence to ART. What is the most likely explanation?
Answer: Medication non-adherence, drug resistance, or drug-drug interactions should be evaluated
A detectable viral load despite reported adherence warrants evaluation for covert non-adherence, resistance mutations, or pharmacokinetic interactions.
What is the recommended tuberculin skin test (TST) reading timeframe in a correctional facility?
Answer: 48–72 hours after placement
TST results must be read 48–72 hours after intradermal placement to ensure accurate induration measurement.
Which of the following best describes the 'booster effect' in tuberculin skin testing and why it matters in correctional facilities?
Answer: A waning immune response that can make a truly positive TST appear negative on first testing, corrected by two-step testing
Two-step TST identifies boosted responders whose first test appeared negative due to waning immunity, preventing future false conversions.
An inmate with hypertension consistently has blood pressure readings above goal despite three antihypertensive medications. What correctional-specific factor should be prioritized in the assessment?
Answer: Pill-hoarding or medication diversion leading to inconsistent ingestion
Medication diversion is a significant concern in corrections; directly observed therapy (DOT) should be considered to ensure actual ingestion.
Which bloodborne pathogen transmission route is of GREATEST concern during a correctional facility outbreak investigation involving multiple cases of acute hepatitis B?
Answer: Sharing of contaminated tattooing or piercing equipment
Unregulated tattooing and piercing with shared, unsterilized equipment is a primary route of hepatitis B (and C) transmission in correctional settings.