A nurse is reviewing the medical records of 5 clients at a local clinic.
The nurse reviews the medical records for 5 clients and notifies the provider of the laboratory reports. Which of the following clients who have communicable diseases should the nurse report as required by law?
Select the 3 clients the nurse should report.
Client 1
Client 2
Client 3
Client 4
Client 5
Correct Answer : A,B,C
A. Client 1 (Neisseria gonorrhoeae) :
Gonorrhea is a reportable sexually transmitted infection due to public health tracking and prevention requirements.
B. Client 2 (Chlamydia trachomatis) :
Chlamydia is a reportable STI because it is highly prevalent and can cause serious reproductive health complications.
C. Client 3 (Syphilis) :
Syphilis is a reportable STI due to its public health significance and need for contact tracing.
D. Client 4 (Human papillomavirus / Condyloma acuminata):
HPV is not a reportable condition in most jurisdictions because of its high prevalence and self-limiting nature in many cases.
E. Client 5 (Genital Herpes Simplex Virus type 2):
HSV is not typically a reportable condition in most jurisdictions, though education and counseling are important for prevention.
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Related Questions
Correct Answer is D
Explanation
A. "I can ask your provider to prescribe a different route for the medication.":
This is premature without first exploring the client’s specific concerns.
B. "I will administer the medication when you are feeling less anxious.":
This delays treatment unnecessarily and does not address the client’s anxiety.
C. "Why are you nervous about receiving this medication?":
“Why” questions can sound judgmental and may put the client on the defensive.
D. "You need this medication to feel better.":
This is a direct but supportive statement that reinforces the medication’s purpose; however, the best approach in real practice would combine reassurance with addressing concerns (e.g., explaining the procedure).
Correct Answer is C
Explanation
A. Administer pain medication:
Pain medication is important but should not be given before assessing the client’s current status.
B. Instruct the client to splint the incision:
This is helpful during coughing or movement but is not the first action before assessing vital signs.
C. Measure the client's vital signs:
Vital signs provide essential information to determine if the pain could be related to complications such as infection or bleeding before choosing an intervention.
D. Reposition the client:
Repositioning may help relieve discomfort, but assessment takes priority.
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