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 B

Explanation

A. Engage neighborhood families to monitor the playground for further trash buildup: While community involvement is valuable, monitoring alone does not address the immediate sanitation concern. Engagement is more effective after assessing and planning with the community.

B. Meet with community members to discuss methods of playground maintenance: The first step is to involve the community in identifying concerns and generating solutions. This approach promotes shared ownership, sustainability, and relevance of any interventions.

C. Partner city officials with community members to improve the playground's condition: Collaboration with city officials is important, but it should follow initial discussions with the community to ensure their input and priorities are represented in any formal partnerships.

D. Work with local businesses to sponsor more trash receptacles in the playground: Providing trash receptacles is a practical solution, but it does not address the root causes or promote sustained behavior change without community buy-in and shared planning.

A. "You might experience painful urination until the infection has resolved." B. "You will need to take an antiviral medication for 30 days." C. "You should avoid sexual contact until therapy is complete." D. "Notify anyone with whom you have had sexual contact over the past 2 months." E. "Once you complete treatment, you will have an acquired immunity against chlamydia."

Correct Answer is ["A","C","D"]

Explanation

A. Experiencing painful urination is a common symptom of chlamydia due to inflammation of the urethra. This discomfort typically persists until the infection is fully treated and resolved. Educating the client on this symptom helps set realistic expectations and encourages adherence to therapy.

B. Chlamydia is caused by bacteria and is treated with antibiotics, not antiviral medications. Antiviral drugs are ineffective against bacterial infections, so prescribing or expecting antiviral treatment for chlamydia is inappropriate and could delay proper care.

C. Avoiding sexual contact during treatment is critical to prevent transmission of the infection to partners and to ensure effective eradication of the bacteria. Engaging in sexual activity before completing therapy increases the risk of reinfection and spreading the disease.

D. Notifying all sexual partners from the past 2 months is essential for contact tracing and treatment to prevent reinfection and further spread of chlamydia. This public health measure helps control outbreaks and reduces complications associated with untreated infections.

E. Completing antibiotic treatment for chlamydia does not confer acquired immunity. Clients remain susceptible to reinfection if exposed again, so ongoing safe sexual practices and regular screening are important for prevention.

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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

A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?

Correct Answer is B

Explanation

A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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