A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identity as a reportable diagnosis to the CDC?
Herpes simplex virus (HSV) type 1
Hepatitis A
Human papillomavirus (HPV)
Pediculosis capitis
The Correct Answer is B
A. Herpes simplex virus (HSV) type 1: HSV-1 is common and generally causes oral lesions. It is not a reportable disease because it is widespread, rarely life-threatening, and does not require public health tracking for outbreak control.
B. Hepatitis A: Hepatitis A is a viral infection that affects the liver and is highly contagious through the fecal-oral route. It is a nationally notifiable disease, and cases must be reported to the CDC to track outbreaks and implement public health measures, such as vaccination and contact tracing.
C. Human papillomavirus (HPV): HPV infections are common and typically asymptomatic or cause benign lesions. They are not reportable to the CDC because the infection is widespread, and reporting is not necessary for immediate public health intervention.
D. Pediculosis capitis: Head lice infestations are common, especially in children, and are not reportable to the CDC. Public health measures focus on school and household management rather than formal reporting for disease surveillance.
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Related Questions
Correct Answer is D
Explanation
A. Treat mild to moderate depression: Chondroitin and glucosamine do not have antidepressant properties and are not indicated for the treatment of mood disorders. Their mechanism of action is focused on cartilage support, not neurotransmitter modulation or mood regulation.
B. Enhance the immune system: While some supplements may influence immune function, chondroitin and glucosamine are not used for immunomodulation. Their primary role is in musculoskeletal health rather than preventing infections or altering immune responses.
C. Prevent and treat prostate enlargement: These supplements have no effect on prostate tissue or hormonal pathways related to benign prostatic hyperplasia. They are not indicated for urinary or prostate health and do not prevent prostate enlargement.
D. Improve joint functioning: Chondroitin and glucosamine are commonly used to support cartilage structure, reduce joint pain, and improve mobility in conditions such as osteoarthritis. They help maintain joint integrity and may decrease symptoms associated with cartilage degeneration, promoting better overall joint function.
Correct Answer is A
Explanation
A. Clear fluid drainage from the nares: Clear, watery drainage following facial trauma can indicate cerebrospinal fluid (CSF) leakage, which is a hallmark sign of a basilar skull fracture. The presence of CSF raises concern for a more serious intracranial injury and requires immediate reporting and further evaluation.
B. Report of pain around the eyes: Periorbital pain is common with nasal fractures and facial trauma but is not specific for a skull fracture. While it warrants assessment, it does not suggest intracranial involvement or CSF leakage.
C. Dried blood in the mouth: Blood in the mouth may result from oral or nasal trauma and is expected with nasal fractures. It does not indicate a skull fracture unless accompanied by other neurological or cerebrospinal signs.
D. Mandibular asymmetry: Misalignment of the jaw is consistent with a mandibular fracture rather than a skull fracture. While it may be present in facial trauma, it does not indicate intracranial injury or CSF leakage.
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