A nurse is reviewing the medical records of 5 clients at a local clinic.

Exhibits

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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Document in the nurses' notes that an incident report was completed:
This is incorrect. The incident report is an internal risk management tool and should not be mentioned in the medical record.

B. Record the facts about the incident in the medical record:
The nurse should document objective facts about the event, assessment, and interventions in the client’s medical record without referencing the incident report.

C. Provide the family with a copy of the incident report:
Incident reports are confidential and not shared with clients or families.

D. Place a copy of the incident report in the medical record:
This is incorrect; incident reports are kept separately from the medical record to avoid legal complications.

A. Pull the nearest fire alarm. B. Use an extinguisher to put out the fire. C. Shut the doors of all client rooms. D. Turn off sources of oxygen.

Correct Answer is A

Explanation

A. Pull the nearest fire alarm:
Following the RACE sequence (Rescue, Alarm, Contain, Extinguish), after rescuing the client, the next step is to activate the fire alarm system to alert others and initiate the fire response plan.

B. Use an extinguisher to put out the fire:
Extinguishing is done later in the sequence after raising the alarm and containing the fire.

C. Shut the doors of all client rooms:
Containment (closing doors) occurs after sounding the alarm.

D. Turn off sources of oxygen:
Turning off oxygen can help reduce fire risk but is not the immediate next step after rescue - alerting others comes first to ensure coordinated emergency response.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

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