A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take?

Refer coworkers who might have been exposed to a provider for prophylactic antibiotics

Place the employee under quarantine for 14 days.

Alert the family members of coworkers about their possible exposure to anthrax.

Instruct the client to wear a mask at work.

Answer and Explanation

The Correct Answer is A

A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics: Anthrax exposure can be fatal if not treated early. Public health protocols recommend prophylactic antibiotics such as ciprofloxacin or doxycycline for those potentially exposed. Timely referral helps prevent the onset of disease.

B. Place the employee under quarantine for 14 days: Quarantine is typically used for contagious diseases that spread person to person, such as COVID-19 or influenza. Anthrax is not spread between individuals, so quarantining an exposed person is unnecessary and not a standard public health measure for this pathogen.

C. Alert the family members of coworkers about their possible exposure to anthrax: Because anthrax does not spread from person to person, there is no need to notify family members of potential exposure. Such an action could cause unnecessary alarm and would not contribute to effective disease control or prevention.

D. Instruct the client to wear a mask at work: Wearing a mask does not prevent the progression of anthrax in an exposed individual nor does it protect others, as anthrax is not contagious between humans. This measure would not address the exposure risk or help in disease managemet.

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Correct Answer is D

Explanation

A. Lock the computer with their password: Locking the computer can secure the session temporarily, but it still leaves the session open and accessible if not properly locked. Logging out fully ends the session and prevents unauthorized access.

B. Minimize the computer application: Minimizing the computer application does not secure the client's electronic health record. The application is still open and accessible with a click, making it a significant breach of confidentiality if someone else accesses the computer.

C. Close the computer screen: Closing the computer screen (e.g., folding down a laptop lid) often puts the computer to sleep or locks the screen. While it provides some level of protection, it is not as secure as logging out, especially if the computer can be easily re-opened or if the lock mechanism isn't immediate.

D. Log out of the computer: Logging out completely ends the session and requires re-authentication for access, ensuring client data confidentiality and compliance with privacy regulations such as HIPAA.

A. Weigh yourself every other day. B. Walk three or more times a week. C. Drink 2.5 to 3 L of water daily. D. Include whole milk with each meal.

Correct Answer is B

Explanation

A. Weighing every other day is insufficient for heart failure management. Daily weight monitoring is essential to detect fluid retention early, as even small increases can indicate worsening heart failure and the need for medication adjustment.

B. Walking three or more times a week helps improve cardiovascular health and endurance without overexerting the heart. Regular, moderate exercise is recommended for heart failure clients to support functional status and prevent deconditioning.

C. Drinking 2.5 to 3 liters of water daily can lead to fluid overload in heart failure patients. These clients often require fluid restrictions to prevent worsening symptoms such as edema and shortness of breath due to impaired cardiac function.

D. Including whole milk with each meal increases saturated fat intake, which can worsen heart health. Low-fat dairy options are better suited for individuals with heart failure to manage cholesterol and cardiovascular risk.

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A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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