CCN Inmate Health Assessment & Chronic Care Management 5

Question 1

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?

Accepted Answer

Hold isoniazid and notify the provider for liver function testing

Answer

Symptoms of hepatotoxicity during isoniazid therapy require immediate drug hold and liver function assessment before continuing treatment.

Question 2

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?

Accepted Answer

Fasting blood glucose and lipid panel

Answer

Atypical antipsychotics are associated with metabolic syndrome including weight gain, hyperglycemia, and dyslipidemia, requiring routine metabolic monitoring.

Question 3

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)?

Accepted Answer

Leukocyte esterase positive and nitrites positive

Answer

Positive leukocyte esterase indicates pyuria and positive nitrites indicate gram-negative bacterial infection, together strongly suggesting UTI.

Question 4

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?

Accepted Answer

Mini-Cog or MMSE for cognitive impairment

Answer

Elderly incarcerated individuals have high rates of undiagnosed cognitive impairment, making cognitive screening with Mini-Cog or MMSE essential.

Question 5

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?

Accepted Answer

Annually or every 2 years based on risk and provider assessment

Answer

ADA guidelines recommend annual dilated eye exams, with the option for biennial exams in those with consistently normal results and low risk.

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN Inmate Health Assessment & Chronic Care Management 5