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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Design interventions for a student's individual education plan (IEP): This action focuses on addressing the specific needs of an individual student, which is more aligned with secondary prevention by providing tailored support for those who may already be at risk.

B. Teach students about healthy food choices: This intervention addresses primary prevention by promoting healthy behaviors and lifestyle choices that can help prevent health issues before they occur. Educating students about nutrition empowers them to make informed decisions that support their overall health.

C. Perform first aid for minor injuries: Providing first aid is a reactive measure that addresses immediate health issues rather than preventing them from occurring in the first place. This intervention aligns more closely with secondary prevention, which focuses on managing health conditions after they arise.

D. Perform scoliosis screenings for students: Screening for scoliosis is a method of identifying potential health issues early, which is characteristic of secondary prevention. It aims to detect and address problems early rather than preventing them altogether.

A. Notify the provider. B. Check the condition of the client. C. Report the occurrence to the unit manager. D. Complete an incident report.

Correct Answer is B

Explanation

A. Notify the provider: While it is essential to inform the provider about the medication error, the immediate priority is to assess the client's condition first to determine if any adverse effects have occurred. The provider can be notified after ensuring the client is stable.

B. Check the condition of the client: The first action the nurse should take is to assess the client's condition. This includes monitoring for any immediate adverse effects or reactions related to the wrong medication administered. Ensuring the client's safety is the top priority in this situation.

C. Report the occurrence to the unit manager: Reporting the error to the unit manager is an important step in the process but should be done after assessing the client's condition. The immediate focus must be on the client's well-being before addressing administrative aspects of the error.

D. Complete an incident report: Completing an incident report is necessary for documenting the error and ensuring quality improvement measures, but it is not the first action. The nurse must first prioritize the assessment and safety of the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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