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 D

Explanation

A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.

B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.

C. Oxybutynin: Oxybutynin is an anticholinergic used to treat overactive bladder symptoms. It can be prescribed for clients with UTIs to help relieve bladder spasms, but verification may depend on the individual client’s medical history.

D. Phenazopyridine: Phenazopyridine is a urinary analgesic that helps relieve pain and discomfort associated with UTIs. However, it does not treat the infection itself and can mask symptoms. It is essential to verify this prescription with the provider to ensure it is appropriate for the client, especially if the provider has not specified it or if there are concerns about potential misuse.

A. "The client has a new prescription for incentive spirometry." B. "The client's partner plans to return later today." C. "The client has no living family members." D. "I initiated a consultation by a nutritionist."

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

Explanation

A. Speech-language pathologist: A speech-language pathologist specializes in assessing and treating swallowing disorders (dysphagia). They conduct swallowing evaluations and recommend appropriate strategies, exercises, and diet modifications to ensure safe swallowing and reduce the risk of aspiration.

B. Occupational therapist: An occupational therapist helps clients regain the ability to perform daily activities, including self-feeding. They provide adaptive strategies, recommend assistive devices, and work on improving fine motor skills to enhance independence during meals.

C. Dietitian: A dietitian assesses the client’s nutritional needs and recommends appropriate diet modifications, such as texture-altered foods or thickened liquids, to ensure adequate nutrition while reducing the risk of choking or aspiration. They collaborate with other team members to create a safe and balanced meal plan.

D. Psychologist: While a psychologist can help address emotional and psychological challenges following a stroke, they are not directly involved in managing swallowing difficulties. Their role focuses more on mental health, coping strategies, and emotional adjustment rather than dysphagia management.

E. Pharmacy technician: A pharmacy technician primarily assists with medication dispensing and does not have a role in evaluating or managing swallowing difficulties. Medication concerns related to swallowing would be addressed by a pharmacist rather than a pharmacy technician.

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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

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

Correct Answer is D

Explanation

A newly licensed nurse is giving a change-of-shift report using Introductions, Situation, Background, Assessment, Recommendation (ISBAR) to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

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

Explanation

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