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A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits
The nurse manager should identify which of the having conditions that require national notification? Select all that apply.

Client 1

Client 2

Client 3

Client 4

Client 5

Answer and Explanation

Correct Answer : A,B,D,E

Client 1: Streptococcus pyogenes (Group A Streptococcus) infections, especially with symptoms suggestive of pharyngitis, are reportable to public health authorities due to their potential to cause outbreaks and complications such as rheumatic fever. National notification helps in tracking and controlling the spread.
Client 2: Elevated blood lead levels in children are a significant public health concern and require mandatory reporting for environmental intervention and follow-up. Lead poisoning can cause serious developmental problems, so this case must be reported.
Client 3: Herpes zoster (shingles) is not a nationally notifiable condition. Although it is contagious to individuals who have not had varicella or the vaccine, it does not require public health notification.
Client 4: Tuberculosis is a highly contagious and serious infectious disease that is nationally notifiable. Positive tuberculin skin test results combined with symptoms consistent with active disease require reporting for public health surveillance and intervention.
Client 5: Chlamydia is a common sexually transmitted infection that is nationally notifiable. Reporting allows for partner notification, treatment, and prevention of further transmission, even if the client is asymptomatic.

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Correct Answer is B

Explanation

A. Weighing every other day is insufficient for heart failure management. Daily weight monitoring is essential to detect fluid retention early, as even small increases can indicate worsening heart failure and the need for medication adjustment.

B. Walking three or more times a week helps improve cardiovascular health and endurance without overexerting the heart. Regular, moderate exercise is recommended for heart failure clients to support functional status and prevent deconditioning.

C. Drinking 2.5 to 3 liters of water daily can lead to fluid overload in heart failure patients. These clients often require fluid restrictions to prevent worsening symptoms such as edema and shortness of breath due to impaired cardiac function.

D. Including whole milk with each meal increases saturated fat intake, which can worsen heart health. Low-fat dairy options are better suited for individuals with heart failure to manage cholesterol and cardiovascular risk.

A. The presence of community members smoking B. The presence of a community health clinic C. The presence of a manufacturing facility D. The presence of high-speed internet

Correct Answer is A

Explanation

A. The presence of community members smoking reflects individual lifestyle choices, as smoking is a personal behavior that directly affects health. Observing such behavior can help the nurse identify trends in health practices and target interventions like smoking cessation programs.

B. The presence of a community health clinic represents an available resource for healthcare access, which is a structural or systemic factor rather than an individual lifestyle choice. It reflects the healthcare infrastructure in the area.

C. The presence of a manufacturing facility is related to the economic and environmental conditions of the community. While it may influence occupational health, it is not an indicator of personal health choices made by individuals.

D. The presence of high-speed internet is an infrastructural advantage that may support health education and access to services, but it is not a direct observation of personal health behavior or lifestyle decisions.

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A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the having conditions that require national notification? Select all that apply.

Nursing Test Bank

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Correct Answer is A

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A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits
The nurse manager should identify which of the having conditions that require national notification? Select all that apply.