A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?

Hepatitis B vaccine.

Influenza vaccine.

Tetanus toxoid vaccine.

Hepatitis A vaccine.

Answer and Explanation

The Correct Answer is D

A) Hepatitis B vaccine:
While Hepatitis B is a significant vaccine for many travelers, especially those at risk of bloodborne pathogen exposure or those planning extended stays, Hepatitis A is more commonly prioritized for short-term travel to developing nations where sanitation and food safety may be compromised.

B) Influenza vaccine:
The influenza vaccine is important for seasonal protection against flu, but it is not specifically targeted at the types of health risks commonly encountered in developing nations. It's generally recommended for annual protection but is not the primary concern for travel to developing countries.

C) Tetanus toxoid vaccine:
Tetanus is a concern for wound management and prevention of tetanus infection, but it is not specific to travel to developing nations. This vaccine is typically part of routine immunizations and might be updated based on injury or specific risk factors, rather than travel alone.

D) Hepatitis A vaccine:
Hepatitis A is crucial for travelers to developing nations because it is transmitted through contaminated food and water. In areas with poor sanitation and hygiene, the risk of Hepatitis A is high. Therefore, the Hepatitis A vaccine should be prioritized to prevent infection in these conditions.

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Correct Answer is C

Explanation

A. Characteristics of families in the upper-middle class:
Understanding the characteristics of families in a specific income bracket can provide useful context, but it does not directly address the distribution of income within the community. The focus should be on the entire income range and how it affects the community's needs.

B. The reliability of such a high average family income:
While it's important to consider the accuracy of data, this question is more about how the range and distribution of income affect the community. The reliability of the data is less relevant than understanding the income distribution.

C. The frequency of incomes above and below the average:
Assessing the frequency of incomes above and below the average provides a better understanding of income distribution within the community. This information helps identify socioeconomic disparities and guide targeted interventions or resources needed for different income groups.

D. Interventions focused on college-educated individuals:
Focusing on college-educated individuals may be relevant in some contexts, but it does not address the broader issue of income distribution. Understanding the frequency of different income levels is more directly related to addressing the needs of the community based on their income range.

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 is D

Explanation

A) Immunize all children under age 5 in the one hundred family aggregate:
Immunization would be a standard preventive measure to control the spread of whooping cough, but in this case, the immediate focus should be on managing the current outbreak. Ensuring that the child with whooping cough and their close contacts are managed appropriately is crucial, rather than preemptively immunizing all children in the aggregate without addressing the existing case.

B) Immunize all members of the one hundred families:
While immunization is essential in preventing whooping cough, implementing this measure without considering the specific outbreak context and the families' religious beliefs might not be feasible or immediately effective. Additionally, managing the outbreak and containing its spread is the immediate priority.

C) Quarantine the one hundred family aggregate:
Quarantining an entire aggregate of families, especially when the infection is present in only one documented case, would be excessive and likely impractical. Quarantine measures should be targeted to those directly exposed or infected to prevent further spread.

D) Quarantine all family members of the child with whooping cough:
Quarantining all family members of the child with whooping cough is the most appropriate immediate intervention. This targeted quarantine helps prevent the spread of the infection within the affected household and controls the outbreak. It addresses the specific exposure and containment needs of the situation effectively.

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A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?

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Naxlex Comprehensive Predictor Exams

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

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