A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?
Avoid exposure to deer ticks.
Eliminate areas of standing water.
Use a respiratory mask when cleaning bird coops.
Plan outdoor activities after dusk.
The Correct Answer is B
A. Avoid exposure to deer ticks: West Nile virus is transmitted through mosquito bites, not deer ticks. Avoiding ticks is important for preventing Lyme disease and other tick-borne illnesses, but it does not reduce the risk of West Nile virus.
B. Eliminate areas of standing water: Mosquitoes breed in stagnant water, increasing the risk of West Nile virus transmission. Removing standing water from containers, birdbaths, and gutters reduces mosquito populations and helps prevent the spread of the virus in rural and urban areas.
C. Use a respiratory mask when cleaning bird coops: This is a preventive measure for diseases such as histoplasmosis, which is caused by inhaling fungal spores from bird droppings. It does not protect against West Nile virus, which is spread through mosquito bites rather than airborne transmission.
D. Plan outdoor activities after dusk: Mosquitoes that carry West Nile virus are most active at dawn and dusk. Engaging in outdoor activities during these times increases the risk of being bitten. Instead, individuals should limit outdoor exposure or use protective measures such as insect repellent and long clothing during peak mosquito activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. The client has a do-not-resuscitate (DNR) prescription: Including the client’s code status is essential for ensuring that the receiving medical-surgical team follows the appropriate resuscitation plan. This information directly impacts emergency decision-making and aligns with the client's wishes.
B. The client has a continuous IV of lactated Ringer’s: Reporting active IV fluids is necessary for continuity of care, as it affects fluid balance, medication administration, and overall treatment planning. The receiving nurse must be aware of the infusion to monitor for effectiveness and complications.
C. The client was straight catheterized for 350 mL 2 hr ago: Details about recent procedures, such as urinary catheterization, are relevant to ongoing assessment and care. Monitoring urinary output helps evaluate kidney function and fluid status, making it crucial information for the next shift.
D. The client has Medicare insurance: Insurance details are important for administrative and billing purposes but do not directly impact immediate patient care. This information is typically managed by case management or the hospital’s financial services.
E. The client lives in a one-story home: While discharge planning may involve assessing home arrangements, this detail is not immediately necessary for a shift report. Relevant home considerations should be discussed later when planning for discharge and follow-up care.
Correct Answer is D
Explanation
A. "Children are more resilient to the effects of poverty than adults": Children are particularly vulnerable to the effects of poverty due to inadequate nutrition, limited access to healthcare, and increased exposure to adverse childhood experiences, which can have long-term physical and mental health consequences.
B. "Minority groups living in poverty experience lower rates of chronic disease": Minority populations in poverty often experience higher rates of chronic illnesses such as diabetes, hypertension, and cardiovascular disease due to disparities in healthcare access, increased stress, and socioeconomic barriers to preventive care.
C. "Older adults are less likely to experience poverty due to receiving Social Security benefits": While Social Security provides financial assistance, many older adults still live in poverty due to high medical costs, inadequate retirement savings, and the rising cost of living, leading to food insecurity and difficulty affording medications.
D. "Adolescents living in poverty are more likely to be diagnosed with a conduct disorder": Poverty is associated with increased exposure to environmental stressors, family instability, and limited access to mental health resources, which can contribute to higher rates of behavioral disorders, including conduct disorder, in adolescents.
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