A nurse at the public health department is participating in the development of emergency response plans for their community.
Obtain standing orders to treat infected individuals with ciprofloxacin
Teach heath care workers how to distinguish the disease from chickenpox
Vaccinate laboratory workers against the disease.
Perform routine screening to identify infected animals.
Implement routine vaccination for the disease for the general public population
Correct Answer : B,C
Rationale for Correct Choices:
- Teach healthcare workers how to distinguish the disease from chickenpox: Smallpox and chickenpox may initially present with similar rash-like symptoms. Rapid and accurate recognition by healthcare workers is critical to implement isolation protocols and prevent further transmission in a bioterrorism event.
- Vaccinate laboratory workers against the disease: Laboratory workers who may handle specimens suspected of containing smallpox virus are at high occupational risk. Pre-exposure vaccination is appropriate for these individuals to protect them during diagnostic and investigative procedures.
Rationale for Incorrect Choices:
- Obtain standing orders to treat infected individuals with ciprofloxacin: Ciprofloxacin is not effective against smallpox, which is caused by a virus. Using an antibiotic would not provide benefit unless there were bacterial complications. The preferred antiviral agent for smallpox is tecovirimat (TPOXX).
- Perform routine screening to identify infected animals: Smallpox does not occur in animals; it has no animal reservoir. Screening animals would not contribute to disease surveillance or prevention and is not a necessary step in smallpox preparedness.
- Implement routine vaccination for the disease for the general public population: Routine smallpox vaccination was stopped decades ago after global eradication. In a bioterrorism scenario, targeted vaccination (ring vaccination) would be used rather than mass immunization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Receives hemodialysis for chronic kidney disease: Hemodialysis increases the risk for hepatitis B and C due to potential exposure to contaminated blood or equipment, but it is not a primary risk factor for hepatitis A, which is spread via the fecal-oral route.
B. Cares for infants at a day care center: Day care workers are at increased risk for hepatitis A due to frequent exposure to fecal matter, especially when caring for diapered children who may be asymptomatic carriers of the virus.
C. Immigrated to the US, as a young adolescent: While certain countries have higher rates of hepatitis A, immigration alone does not inherently increase risk unless the person was exposed to poor sanitation or contaminated food or water before moving.
D. Reports prior IV drug use as an adolescent: IV drug use is a well-known risk factor for hepatitis B and C due to bloodborne transmission, but it is less commonly associated with hepatitis A, which is transmitted through ingestion of contaminated food or water.
Correct Answer is B
Explanation
A. Teaching fall prevention strategies to caregivers: Teaching caregivers fall prevention strategies is primarily a nursing responsibility. While other professionals may be involved later in care planning, this educational task does not typically require interprofessional collaboration at the planning stage.
B. Implementing a population-based approach to client care: A population-based approach often requires collaboration among multiple disciplines, such as public health nurses, social workers, nutritionists, and physicians. An interprofessional conference ensures a coordinated strategy that addresses various health determinants and needs of the population.
C. Maintaining confidentiality of HIV-positive status: Maintaining client confidentiality is a legal and ethical obligation of the nurse and does not necessitate a team meeting. It is a standard aspect of individual professional practice and not something discussed in an interprofessional forum.
D. Conducting a windshield survey in a neighborhood: A windshield survey is an observational tool used by public health nurses to assess community needs. It is typically conducted independently and does not require collaboration from other professionals during the planning phase.
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