The infectious control nurse is presenting a program on West Nile virus for a local community group. To reduce the incidence of this disease, the nurse should recommend what action?
- A. Covering open wounds at all times
- B. Vigilant handwashing in home and work settings
- C. Consistent use of mosquito repellants
- D. Annual vaccination
Correct Answer: C
Rationale: West Nile virus is transmitted by mosquitoes, so repellants are the most effective prevention. No vaccine exists, and handwashing or wound covering are less specific.
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The nurse who provides care at a wilderness camp is teaching staff members about measures that reduce campers and workers risks of developing Giardia infections. The nurse should emphasize which of the following practices?
- A. Making sure not to drink water that has not been purified
- B. Avoiding the consumption of wild berries
- C. Removing ticks safely and promptly
- D. Using mosquito repellant consistently
Correct Answer: A
Rationale: Giardia is transmitted through contaminated water, so avoiding unpurified water is key. Berries, ticks, and mosquitoes are not associated with Giardia transmission.
A 2-year-old is brought to the clinic by her mother who tells the nurse her daughter has diarrhea and the child is complaining of pain in her stomach. The mother says that the little girl had not eaten anything unusual, consuming homemade chicken strips and carrot sticks the evening prior. Which bacterial infection would the nurse suspect this little girl of contracting?
- A. Escherichia coli
- B. Salmonella
- C. Shigella
- D. Giardia lamblia
Correct Answer: B
Rationale: Salmonella is commonly associated with poultry, causing diarrhea and abdominal pain. E. coli is linked to undercooked beef, Shigella to fecal-oral transmission, and Giardia to contaminated water.
A patient has presented at the ED with copious diarrhea and accompanying signs of dehydration. During the patients health history, the nurse learns that the patient recently ate oysters from the Gulf of Mexico. The nurse should recognize the need to have the patients stool cultured for microorganisms associated with what disease?
- A. Ebola
- B. West Nile virus
- C. Legionnaires disease
- D. Cholera
Correct Answer: D
Rationale: Cholera is associated with shellfish consumption from the Gulf of Mexico, causing watery diarrhea. Ebola, West Nile, and Legionnaires have different transmission modes.
A public health nurse promoting the annual influenza vaccination is focusing health promotion efforts on the populations most vulnerable to death from influenza. The nurse should focus on which of the following groups?
- A. Preschool-aged children
- B. Adults with diabetes and/or renal failure
- C. Older adults with compromised health status
- D. Infants under the age of 12 months
Correct Answer: C
Rationale: Older adults with compromised health status face the highest influenza mortality risk, making them the priority for vaccination promotion.
A nurse who provides care in a busy ED is in contact with hundreds of patients each year. The nurse has a responsibility to receive what vaccine?
- A. Hepatitis B vaccine
- B. Human papillomavirus (HPV) vaccine
- C. Clostridium difficile vaccine
- D. Staphylococcus aureus vaccine
Correct Answer: A
Rationale: Hepatitis B vaccine is essential for healthcare workers due to exposure risk to bloodborne pathogens. HPV is sexually transmitted, and no vaccines exist for C. difficile or S. aureus.
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