Nokea
The nurse is teaching a group of nursing students infectious diseases that are reportable to the local health department. Which of the following conditions should be reported? Select all that apply.
- A. Bacterial vaginosis
- B. Herpes simplex virus (HSV)
- C. Human immunodeficiency virus (HIV)
- D. Hepatitis A
- E. Syphilis
- F. Human Papilloma Virus infection (HPV)
Correct Answer: C,D,E
Rationale: HIV, Hepatitis A, and Syphilis are reportable to public health authorities due to their significant public health impact and potential for transmission.
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The nurse in the emergency department (ED) is triaging a client who reports recent international travel to West Africa and has signs and symptoms of conjunctival injection, fever, rash, vomiting, and blood in their stool. The nurse is concerned that this client may have?
- A. pulmonary tuberculosis.
- B. encephalitis.
- C. Ebola virus disease.
- D. inhalation anthrax.
Correct Answer: C
Rationale: Ebola virus disease is associated with recent travel to West Africa and symptoms like fever, rash, vomiting, and hemorrhagic signs such as bloody stools.
The emergency department (ED) nurse is triaging a client who is highly suspected of having inhalation anthrax. The nurse should plan to
- A. place a surgical mask on the client.
- B. place the client in a room with negative airflow with an anteroom.
- C. obtain a urine sample from the client.
- D. report the situation to the hospital administration.
Correct Answer: B
Rationale: Inhalation anthrax requires airborne precautions due to its high infectivity, necessitating a negative airflow room to prevent spread.
A nurse is caring for a client who has Lyme disease. The nurse should request a prescription for which medication from the primary healthcare provider?
- A. finasteride
- B. doxycycline
- C. valacyclovir
- D. diphenhydramine
Correct Answer: B
Rationale: Doxycycline is the first-line antibiotic for treating Lyme disease due to its efficacy against Borrelia burgdorferi.
The following scenario applies to the next 1 items
The nurse in the emergency department (ED) is caring for a 35-year-old male client with sepsis.
Item 1 of 1
Vital Signs
Orders
Laboratory Results
1744: T 102.5° F (39.2° C), P 112, RR 20, BP 90/60
The nurse should prioritize administering
- A. 0.9% sodium chloride (normal saline)
- B. acetaminophen.
- C. azithromycin.
- D. regular insulin
Correct Answer: A
Rationale: In sepsis, administering normal saline is a priority to restore intravascular volume and improve blood pressure.
The nurse is caring for a client who was recently diagnosed with human immunodeficiency virus (HIV). Which of the following statements, if made by the client, would indicate a knowledge deficit? Select all that apply.
- A. I started researching ways to tell my family that I have AIDS.
- B. I recently stopped sharing household utensils and towels.
- C. I will need periodic blood tests to measure the amount of virus.
- D. I will not be able to continue my job as a phlebotomist.
- E. If I achieve undetectable viral load status, I won't be able to transmit the virus to others.
Correct Answer: A,B,E
Rationale: A: HIV does not equate to AIDS; this indicates a misunderstanding. B: HIV is not transmitted through household items. E: Undetectable viral load reduces but does not eliminate transmission risk.