Inmate Health Assessment & Chronic Care Management Flashcards
7 cards from real CCN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Inmate Health Assessment & Chronic Care Management flashcards as text
An inmate with HIV on antiretroviral therapy (ART) has a CD4 count of 185 cells/µL. Which prophylactic medication is indicated to prevent Pneumocystis jirovecii pneumonia (PCP)?
Answer: Trimethoprim-sulfamethoxazole (TMP-SMX) daily
TMP-SMX is the first-line prophylaxis for PCP when CD4 count falls below 200 cells/µL in HIV-positive patients.
A correctional nurse is performing a health appraisal for a 55-year-old male inmate with a 30 pack-year smoking history. Which cancer screening is recommended per USPSTF guidelines?
Answer: Low-dose CT scan of the chest for lung cancer
USPSTF recommends annual low-dose CT lung cancer screening for adults aged 50–80 with a 20 pack-year history who currently smoke or quit within 15 years.
An inmate with epilepsy misses several doses of phenytoin because of lockdowns. Upon assessment, the nurse finds the patient confused and shaking. What is the priority action?
Answer: Obtain a stat phenytoin level and notify the provider immediately
Obtaining a serum phenytoin level and notifying the provider allows for informed clinical decision-making to prevent status epilepticus.
During chronic care follow-up, a nurse assesses an inmate with chronic obstructive pulmonary disease (COPD). Which finding indicates disease exacerbation requiring escalated care?
Answer: Increased dyspnea, change in sputum color, and decreased oxygen saturation
Increased dyspnea, purulent sputum, and decreased SpO2 are classic signs of a COPD exacerbation requiring prompt treatment.
A nurse is reviewing an inmate's chronic care record and notices the patient's HbA1c has increased from 7.2% to 9.8% over 6 months despite no medication changes. What factor most commonly contributes to this change in a correctional setting?
Answer: Medication hoarding for trading or diversion
Medication diversion or hoarding is a significant cause of apparent treatment failure in correctional settings and must be assessed.
When documenting a chronic care encounter for an inmate with coronary artery disease, which SOAP note element should include the patient's report of chest pain frequency and exercise tolerance?
Answer: Subjective
The Subjective section captures the patient's own description of symptoms, including chest pain frequency and functional limitations.
An inmate with sickle cell disease presents to the infirmary during a pain crisis. In addition to opioid analgesia, which supportive intervention is critical?
Answer: Adequate IV hydration and supplemental oxygen
Hydration and oxygen are essential supportive measures during sickle cell crisis to reduce sickling and promote tissue oxygenation.