Nokea
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
- A. Office of the Surgeon General.
- B. State health department.
- C. Hospital infection control department.
- D. Local Red Cross chapter.
Correct Answer: B
Rationale: The correct answer is B: State health department. The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC as part of the national surveillance system for infectious diseases. State health departments collect and report data on various diseases to monitor trends, detect outbreaks, and implement public health interventions. The Office of the Surgeon General does not handle disease reporting, the Hospital infection control department focuses on preventing healthcare-associated infections within the hospital, and the Local Red Cross chapter is not involved in disease surveillance. Thus, the state health department is the appropriate agency for reporting cases of Lyme disease to the CDC.
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public health nurse take
- A. alert the family members of coworkers about possible exposure to anthrax
- B. place the employee under quarantine for 14 days
- C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4.
- D. instruct the client to wear a mask at work
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread. Choice B is incorrect as quarantine is typically done by health authorities, not the nurse. Choice C is incorrect as the nurse does not directly prescribe antibiotics. Choice D is incorrect as the client, not the nurse, should wear a mask for protection.
nurse expect
- A. oliguria
- B. diplopia
- C. hypoglycemia
- D. dizziness
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in a patient as it can indicate a serious neurological issue or cranial nerve dysfunction. Oliguria (A) refers to decreased urine output, not typically associated with nursing expectations. Hypoglycemia (C) is a metabolic condition, not typically anticipated by nurses. Dizziness (D) can have various causes and is not specific enough to be expected by a nurse.
The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
- A. Arrange for Meals on Wheels assistance.
- B. Determine the client’s ability to self-feed.
- C. Direct the home health aide to assist with meals.
- D. Refer the client’s partner to an Alzheimer’s support group.
Correct Answer: B
Rationale: The correct answer is B: Determine the client's ability to self-feed. The priority action is to assess the client's capacity to feed themselves independently. This is crucial in identifying any issues or barriers the client may be facing in terms of feeding. By determining the client's ability to self-feed, the nurse can develop an appropriate plan of care tailored to the client's specific needs.
Choices A, C, and D are incorrect because they do not address the immediate concern of evaluating the client's ability to feed themselves. While arranging for Meals on Wheels or directing the home health aide to assist with meals may be helpful interventions, they do not address the root cause of the issue. Referring the client's partner to an Alzheimer's support group may be beneficial in the long term but does not address the immediate need to assess the client's ability to self-feed.
a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
- A. one dose of the immunization gives children lifelong protection from hepatitis B
- B. hepatitis B spreads easily among children through casual contact
- C. many people who acquire acute hepatitis B develop chronic hepatitis
- D. people who have had a hepatitis B infection still need the immunization
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B spreads easily among children through casual contact. This is the most appropriate explanation to give the parent because hepatitis B is primarily transmitted through contact with infected blood or body fluids, making children especially vulnerable due to their frequent interactions. Choice A is incorrect as multiple doses are needed for full protection. Choice C is incorrect as not everyone with acute hepatitis B develops chronic hepatitis. Choice D is incorrect because previous infection does not guarantee lifelong immunity.