A client leaves work at a nearby restaurant and visits the health clinic where the client is diagnosed with viral conjunctivitis. While receiving discharge instructions from the nurse, the client describes already feeling much better and plans to return to work for the afternoon shift. How should the nurse respond?
Ask the client what type of work the client does at the restaurant.
Advise the client to wear a face mask around other persons.
Explain that the client should stay home for the next several days.
Instruct the client to use dark glasses if the lighting is bright.
The Correct Answer is C
Choice A reason: Asking about the type of work may help assess transmission risk, especially if the client handles food, but it does not directly address the public health concern. Viral conjunctivitis is highly contagious, and delaying guidance while gathering information may increase exposure risk.
Choice B reason: Wearing a face mask does not prevent the spread of viral conjunctivitis, which is transmitted primarily through direct contact with eye secretions or contaminated surfaces. Masks may reduce respiratory droplet transmission but are ineffective for eye-related viral spread.
Choice C reason: Viral conjunctivitis is highly contagious, especially in the early stages. The nurse should advise the client to stay home for several days to prevent transmission to coworkers and customers. This recommendation aligns with infection control protocols and protects public health, particularly in food service environments.
Choice D reason: While dark glasses may help with photophobia, they do not prevent transmission or address the public health risk. This advice is supportive but not sufficient as a primary intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Chlamydia is a reportable disease in many jurisdictions. Public health reporting helps with contact tracing and reducing community spread. The nurse must inform the client of this legal and ethical obligation to notify health authorities.
Choice B reason: This statement is misleading. Many individuals with chlamydia are asymptomatic but still infectious. Assuming that asymptomatic partners are not infected can lead to untreated transmission and complications such as pelvic inflammatory disease.
Choice C reason: STI screening should be more frequent than every two years for individuals with multiple partners. The CDC recommends annual screening for sexually active individuals under 25 and more frequent testing for high-risk populations.
Choice D reason: Most contraceptives, such as oral pills or IUDs, do not protect against STIs. Only barrier methods like condoms offer protection. This statement could falsely reassure the client and increase risk of transmission.
Correct Answer is C
Explanation
Choice A reason: While medication history is important for understanding psychiatric background, it does not address the immediate concern of potential self-harm or suicidal ideation. Antipsychotic use may suggest mental health issues, but the priority is assessing current risk.
Choice B reason: Knowing whether family members can provide meals is relevant for addressing food insecurity, but it does not address the deeper psychological concern expressed by the client. The statement about not deserving to eat suggests emotional distress that may precede self-harm.
Choice C reason: The client’s statement reflects possible suicidal ideation or severe depression. Assessing thoughts of self-harm is the highest priority to ensure safety and initiate appropriate mental health interventions. This aligns with the nursing process of prioritizing physiological and psychological safety.
Choice D reason: Financial aid resources may help with food access, but they are secondary to evaluating the client’s mental health status. Without addressing emotional well-being, resource referrals may be ineffective or ignored.
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