A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take?
Provide the Centers for Disease Control and Prevention (CDC) with the client's information.
Inform the client that they are required to have health department staff directly observe their treatment.
Determine whether the condition is reportable under state requirements.
Find out whether the condition is endemic in the client's neighborhood.
The Correct Answer is C
A. "Provide the Centers for Disease Control and Prevention (CDC) with the client's information": While listeriosis is a nationally notifiable disease, reporting is first done at the state level, which then decides how to proceed with federal notification. Directly sending client information to the CDC is not the nurse’s role.
B. "Inform the client that they are required to have health department staff directly observe their treatment": Directly observed therapy (DOT) is typically used for diseases like tuberculosis, where adherence to a medication regimen is critical. Listeriosis treatment does not require such supervision.
C. "Determine whether the condition is reportable under state requirements": Listeriosis is a reportable disease in most states, but reporting guidelines vary. The nurse must follow state-specific regulations to ensure proper public health response and disease surveillance.
D. "Find out whether the condition is endemic in the client's neighborhood": Listeriosis is typically linked to foodborne outbreaks rather than geographic endemics. Identifying contaminated food sources is more relevant than determining neighborhood endemicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rubella: This disease is primarily spread through respiratory droplets, requiring standard precautions for management. It is important for nurses to understand that while rubella can be contagious, airborne precautions are not necessary for this condition.
B. Pertussis: Also known as whooping cough, pertussis is transmitted through respiratory droplets, which necessitates droplet precautions rather than airborne precautions. Understanding the mode of transmission helps healthcare workers implement the appropriate level of precautions to prevent the spread of infection.
C. Influenza: Influenza is primarily transmitted through respiratory droplets. Although droplet precautions are necessary when caring for patients with influenza, airborne precautions are not required. Knowledge of these distinctions is essential for nurses to ensure effective infection control measures.
D. Varicella: Varicella, or chickenpox, is classified as an airborne disease because it spreads through respiratory droplets and direct contact with the rash. Airborne precautions are necessary to prevent transmission, especially in healthcare settings where vulnerable populations may be present. Understanding the specific precautions for airborne diseases is crucial for maintaining patient and staff safety.
Correct Answer is B
Explanation
A. Have adolescents lead peer discussions in schools about safe sexual practices: While this intervention promotes education and awareness, it primarily addresses social and educational factors rather than financial ones. It focuses on behavior change among peers rather than directly impacting financial barriers to healthcare access.
B. Distribute condoms through remote community clinics: This intervention directly addresses financial factors affecting community health by ensuring access to condoms, which may otherwise be a financial burden for some individuals. Providing free condoms helps reduce the economic barriers to safe sex practices and promotes better sexual health in the community.
C. Create commercial advertisements describing the long-term effects of HIV: While advertisements can raise awareness about HIV and its consequences, this intervention focuses on informational and awareness aspects rather than directly addressing financial barriers to health services or prevention resources.
D. Include information about perinatal HIV transmission at prenatal education classes: This intervention enhances education regarding HIV transmission but primarily addresses health education rather than financial factors. While it is crucial for preventing transmission, it does not focus on overcoming financial barriers that may limit access to necessary resources or care.
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