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 D
Explanation
A. "Hospice care focuses on disease treatment and rehabilitation": Hospice care prioritizes comfort and symptom management rather than curative treatments or rehabilitation. The focus is on improving quality of life for clients with terminal illnesses.
B. "The provider will coordinate your health care needs while in hospice": Hospice care is typically managed by an interdisciplinary team, including nurses, social workers, chaplains, and other specialists, rather than being solely coordinated by a provider. The team collaboratively addresses the client's needs.
C. "You must choose a home caregiver before being admitted into a hospice facility": Hospice care can be provided in various settings, including the client’s home, a dedicated hospice facility, or a hospital. While a home caregiver may be helpful for in-home care, it is not a requirement for admission into a hospice program.
D. "Hospice care continues to help families with grief after a death occurs": Bereavement support is a key component of hospice care, offering counseling, resources, and support groups to help families cope with loss after the client’s passing.
Correct Answer is D
Explanation
A. The advice of an expert nephrology nurse. While experienced nurses provide valuable clinical insights, their knowledge may be based on personal experience rather than the latest evidence-based research. Best practices should be supported by scientific studies rather than anecdotal expertise.
B. Retrospective chart reviews. Chart reviews can offer useful data on past interventions and outcomes, but they do not always reflect the most current evidence-based practices. Additionally, they may contain inconsistencies or lack standardized guidelines necessary for broad application.
C. Facility critical pathway. Critical pathways are developed based on evidence-based guidelines, but they may not always reflect the most up-to-date research. These protocols are useful for standardizing care within a specific institution but should be supplemented with current peer-reviewed research to ensure best practices.
D. A recent peer-reviewed nursing research article. Peer-reviewed nursing research articles provide the most current and scientifically validated evidence. These sources undergo rigorous evaluation before publication, ensuring that recommendations are based on high-quality research rather than opinion or outdated protocols.
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