A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
Track rates of illness caused by infection among employees
Survey workers about job-related emotional stress
Identify industrial toxins that are present in the environment
Measure noise levels at various locations in the facility
The Correct Answer is D
Choice A reason: Tracking rates of illness caused by infection among employees is not an action that will help the nurse detect potential physical hazards, as it is related to biological hazards. Biological hazards are living organisms or substances that can cause disease or infection, such as bacteria, viruses, fungi, or parasites. The nurse should track rates of illness caused by infection among employees to monitor the prevalence and incidence of occupational infections, such as tuberculosis, hepatitis, or COVID-19, and to implement preventive and control measures.
Choice B reason: Surveying workers about job-related emotional stress is not an action that will help the nurse detect potential physical hazards, as it is related to psychosocial hazards. Psychosocial hazards are factors that affect the mental and emotional well-being of workers, such as workload, autonomy, communication, recognition, or violence. The nurse should survey workers about job-related emotional stress to assess the level and sources of occupational stress, burnout, or fatigue, and to provide counseling, support, or referral.
Choice C reason: Identifying industrial toxins that are present in the environment is not an action that will help the nurse detect potential physical hazards, as it is related to chemical hazards. Chemical hazards are substances that can harm the health or safety of workers, such as solvents, acids, gases, or pesticides. The nurse should identify industrial toxins that are present in the environment to evaluate the exposure and risk of workers, and to implement protective measures, such as ventilation, personal protective equipment, or safe handling procedures.
Choice D reason: Measuring noise levels at various locations in the facility is an action that will help the nurse detect potential physical hazards, as noise is a common and harmful physical hazard. Physical hazards are factors that can harm the body or damage the equipment or materials, such as noise, vibration, temperature, radiation, or electricity. The nurse should measure noise levels at various locations in the facility to determine the intensity and duration of noise exposure, and to implement noise reduction measures, such as engineering controls, administrative controls, or hearing protection devices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The test does not monitor the progression of the disease, as it only detects the presence of antibodies to HIV, not the amount of virus or the damage to the immune system. Other tests, such as viral load and CD4 count, are used to monitor the progression of HIV infection and the response to treatment.
Choice B reason: The test measures antibodies to the virus, which are produced by the immune system in response to HIV infection. The test is used to screen for HIV infection and to confirm the diagnosis. A positive result indicates that the person has been exposed to HIV and has developed antibodies to the virus.
Choice C reason: The test results are not accurate 24 hours after exposure to the virus, as it takes time for the body to produce enough antibodies to be detected by the test. The window period, which is the time between exposure to HIV and a positive test result, varies from person to person, but it can range from 3 weeks to 3 months. Therefore, a negative result does not necessarily rule out HIV infection, and a repeat test may be needed after the window period.
Choice D reason: A positive result does not require initiating immunoglobulin administration, as immunoglobulin is not a treatment for HIV infection. Immunoglobulin is a preparation of antibodies that can provide temporary protection against some infections, but it does not affect HIV. A positive result requires further confirmation by a more specific test, such as the Western blot, and referral to a specialist for treatment and counseling.
Correct Answer is D
Explanation
Choice A reason: A child who has a BMI of 18 is not the highest priority, as it is within the normal range for children. BMI, or body mass index, is a measure of weight relative to height. A BMI of 18 is considered healthy for children aged 2 to 20 years, according to the Centers for Disease Control and Prevention (CDC). The nurse should monitor the child's growth and development and provide nutrition education as needed.
Choice B reason: An adolescent who has scoliosis is not the highest priority, as it is a common and usually mild condition. Scoliosis is a sideways curvature of the spine that affects about 3% of adolescents. Most cases of scoliosis are mild and do not require treatment, although some may need braces or surgery. The nurse should refer the adolescent to a specialist for further evaluation and management.
Choice C reason: An adolescent who has psoriasis is not the highest priority, as it is a chronic and non-contagious condition. Psoriasis is a skin disorder that causes red, scaly patches on the skin that may itch or burn. Psoriasis is not curable, but it can be controlled with medications, creams, or light therapy. The nurse should provide education and support to the adolescent and encourage them to seek medical care as needed.
Choice D reason: A child who has nits is the highest priority, as it indicates a parasitic infestation that can spread to others. Nits are the eggs of head lice, which are tiny insects that live on the scalp and feed on blood. Head lice can cause itching, irritation, and infection of the scalp. The nurse should isolate the child and notify the parents and the school staff. The nurse should also provide instructions on how to treat the infestation and prevent reinfestation.
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