A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition?

A client who is pregnant and has cytomegalovirus (CMV)

An adolescent client who has foodborne botulism

A child who has erythema infectiosum

A young adult client who has herpes simplex virus type 1 (HSV-1)

Answer and Explanation

The Correct Answer is B

A. Cytomegalovirus (CMV) is not nationally notifiable, though it can have significant effects, especially in pregnant women.

B. Foodborne botulism is a nationally notifiable condition due to its potential for widespread outbreaks and severe health consequences.

C. Erythema infectiosum, or fifth disease, is not a nationally notifiable disease, although it is recognized in clinical settings.

D. Herpes simplex virus type 1 (HSV-1) is common and not considered a nationally notifiable infectious disease.

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Correct Answer is B

Explanation

A. Triglycerides within the normal range do not indicate a need for additional nutrients.

B. A low albumin level of 2.8 g/dL indicates poor protein status and may suggest that the client requires additional protein in their enteral feeding to help with healing and overall nutrition.

C. A creatinine level of 1.1 mg/dL is within normal limits and does not indicate a need for additional nutrients.

D. Alkaline phosphatase at 118 units/L is within the normal range and does not suggest a deficiency requiring additional nutrients.

A. The client will have a visit by a home health nurse tomorrow. B. The client needs assistance when transferring from the bed to a wheelchair. C. The client's partner will bring clothes for the client to change into prior to discharge. D. The client often needs encouragement to engage in personal hygiene activities.

Correct Answer is B

Explanation

While a home health nurse visit is important, it is not an immediate safety concern for the client's discharge.

B. The need for assistance when transferring is critical information as it directly impacts the client's safety during discharge; the oncoming nurse must ensure proper support is arranged.

C. The fact that the client's partner will bring clothes is relevant but does not affect the immediate care of the client.

D. Encouragement for personal hygiene is important but is not as urgent as ensuring the client can safely transfer without risk of falls or injury.

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A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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