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 is receiving directly observed therapy (DOT) for latent tuberculosis infection (LTBI) with isoniazid. After 2 months, he reports right upper quadrant pain, nausea, and fatigue. What is the priority nursing action?
Answer: Hold isoniazid and notify the provider for liver function testing
Symptoms of hepatotoxicity during isoniazid therapy require immediate drug hold and liver function assessment before continuing treatment.
A nurse is developing a chronic care protocol for inmates with mental illness who are also on antipsychotic medications. Which metabolic parameter must be monitored routinely due to medication side effects?
Answer: Fasting blood glucose and lipid panel
Atypical antipsychotics are associated with metabolic syndrome including weight gain, hyperglycemia, and dyslipidemia, requiring routine metabolic monitoring.
An inmate presents to sick call with complaints of burning on urination and urinary frequency. The nurse collects a urine sample. Which finding on urinalysis would most strongly suggest a urinary tract infection (UTI)?
Answer: Leukocyte esterase positive and nitrites positive
Positive leukocyte esterase indicates pyuria and positive nitrites indicate gram-negative bacterial infection, together strongly suggesting UTI.
A nurse is reviewing the health assessment of an elderly inmate (age 72). Which additional geriatric screening tool should be incorporated beyond standard chronic disease monitoring?
Answer: Mini-Cog or MMSE for cognitive impairment
Elderly incarcerated individuals have high rates of undiagnosed cognitive impairment, making cognitive screening with Mini-Cog or MMSE essential.
During an annual chronic care review, a nurse finds that an inmate with hypertension and diabetes has not had a dilated eye exam in 3 years. According to ADA guidelines, how often should diabetic retinopathy screening occur?
Answer: Annually or every 2 years based on risk and provider assessment
ADA guidelines recommend annual dilated eye exams, with the option for biennial exams in those with consistently normal results and low risk.
An inmate with chronic hepatitis B is newly prescribed tenofovir. What is the most important baseline assessment before initiating this medication?
Answer: Renal function (serum creatinine and eGFR)
Tenofovir is nephrotoxic and requires baseline and ongoing monitoring of renal function, including serum creatinine and eGFR.
A correctional nurse is preparing transition-of-care documentation for an inmate being released after 5 years. Which element is most critical to include to ensure continuity of chronic disease management in the community?
Answer: Current medication list, pending lab results, upcoming specialist appointments, and community referrals
Comprehensive transition-of-care planning including medications, labs, referrals, and community resources is essential to prevent care gaps and adverse events after release.