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The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?
- A. Emphasize that using safe sex practices removes the risk of sexually transmitted Infections (STIs)
- B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse.
- C. Discuss that partners without similar symptoms may not be infected.
- D. Instruct the client on the importance of notifying sexual partners.
Correct Answer: D
Rationale: Notifying sexual partners is critical to prevent further spread of gonorrhea, ensuring they are tested and treated, as asymptomatic individuals can still transmit the infection.
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One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?
- A. Immunize all children under age 5 in the one hundred family aggregate.
- B. Immunize all members of the one hundred families.
- C. Quarantine the one hundred family aggregate.
- D. Quarantine all family members of the child with whooping cough.
Correct Answer: D
Rationale: Quarantining the affected child's family members prevents whooping cough spread, targeting those most likely exposed.
The nurse is working with a Parent Teacher Organization (PTO) to increase safety for children walking to and from a nearby elementary school. Which action should the nurse include to help achieve this goal?
- A. Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels.
- B. Advise the residents to keep their porch lights on during hours that children are walking to and from school.
- C. Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood.
- D. Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times.
Correct Answer: C
Rationale: Designated safe houses provide a structured safety measure, offering refuge for children in emergencies, directly enhancing pedestrian safety.
A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students tested. Which is the rate per 1,000 with new positive tests?
- A. 3/1,000.
- B. 30/1,000.
- C. 1.7/1,000.
- D. 15/1,000.
Correct Answer: B
Rationale: The rate is calculated as (15/500) * 1,000 = 30/1,000, accurately reflecting the proportion of students with positive tests per 1,000.
A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?
- A. Provide the information for research purposes only.
- B. Ask the student to sign a standard waiver form.
- C. Obtain written authorization from clients to release the information.
- D. Ask if permission has been obtained from the research committee.
Correct Answer: C
Rationale: Obtaining client authorization ensures compliance with privacy laws like HIPAA, protecting client confidentiality.
While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?
- A. Obtain a restraining order against the father.
- B. Encourage the mother to file a police report.
- C. Ask the child if his father ever spanks him.
- D. Refer the family to protective service agencies.
Correct Answer: D
Rationale: Referring to protective service agencies ensures a specialized investigation and intervention, prioritizing the child's safety and well-being.