A nurse manager in a public health clinic is reviewing the charts of five recent clients.
The nurse manager should identify which of the following clients as having conditions that require national notification? Select all that apply.
Client 1
Client 2
Client 3
Client 4
Client 5
Correct Answer : B,D,E
A. Client 1, diagnosed with streptococcus pyogenes, commonly known as strep throat, is not typically a nationally notifiable condition unless it is part of an outbreak or has other public health implications or causes streptococcal toxic shock syndrome.
B. Elevated blood lead levels are reportable to local health departments due to the severe health risks, especially in children. Lead poisoning is a nationally notifiable noninfectious condition.
C. Herpes zoster (shingles) is not a nationally notifiable condition. It is a reactivation of the varicella-zoster virus, which causes chickenpox, but does not typically require reporting unless there is a significant outbreak or other public health concern.
D. Tuberculosis (TB) is a notifiable disease. The client's symptoms, positive Mantoux test, and travel history are indicative of active TB, which requires reporting to public health authorities for proper tracking and management.
E. Chlamydia is a reportable sexually transmitted infection (STI). Positive tests need to be reported to ensure public health measures can be taken to prevent the spread and provide treatment to affected individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A restorative aide assists with basic daily activities and exercises but is not specialized in treating dysphagia.
B. A physical therapist focuses on improving mobility and strength, not on swallowing difficulties.
C. An occupational therapist helps with daily living skills and adaptive equipment but does not specialize in dysphagia.
D. A speech-language pathologist specializes in diagnosing and treating swallowing disorders (dysphagia) and is the most appropriate resource for clients experiencing this issue.
Correct Answer is A
Explanation
A. Palliative care aims to provide comfort and improve quality of life for individuals with serious illnesses like cancer.
B. This statement reflects a misunderstanding; palliative care can be recommended earlier in the illness trajectory.
C. Palliative care does not restrict hospital access based on specific conditions like breathing cessation.
D. Palliative care can be provided alongside treatments aimed at curing or controlling the cancer.
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