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?

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.

A. "Rub your hands together for at least 10 seconds when washing them.": While handwashing is important for preventing infections, the recommendation for effective handwashing is to rub hands together for at least 20 seconds, not 10. Emphasizing proper handwashing techniques is essential for promoting workplace health.

B. "Keep your abdominal muscles tightened when lifting objects.": This is proper body mechanics to prevent back injuries in a warehouse setting. Workers should also bend at the knees, keep objects close to the body, and avoid twisting.

C. "Ensure that 20% or less of calories are from saturated fats.": The dietary guideline is that saturated fat should be <10% of daily calories, not 20%.

D. "Engage in aerobic exercise 2 to 4 days per week for 20 minutes.": While regular exercise is beneficial, the recommendation for aerobic exercise typically suggests at least 150 minutes of moderate-intensity exercise each week, which translates to about 30 minutes on most days. This statement underrepresents the amount of physical activity needed for optimal health.