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.
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Related Questions
Correct Answer is A
Explanation
A. The client has declined additional life-prolonging treatments: Hospice care is appropriate for clients who have decided to forego aggressive treatments aimed at curing their illness and instead focus on comfort care and symptom management.
B. The client requires inpatient care due to lack of a caregiver: While hospice care can be provided in various settings, including inpatient facilities, the lack of a caregiver alone does not qualify a client for hospice care.
C. The client has documentation stating he has less than 12 months to live: Hospice care is typically provided to clients with a life expectancy of 6 months or less, as certified by a healthcare provider. The 12-month timeframe is incorrect.
D. The client's insurance provides coverage for palliative care: While insurance coverage is important, it is not a qualifying criterion. Hospice care focuses on palliative care, but the client's decision to stop life-prolonging treatments is the primary qualification.
Correct Answer is B
Explanation
A. Evaluating the effectiveness of drills is important but comes after identifying risks and capabilities.
B. Identifying community risks and capabilities is the first step in developing a disaster-preparedness plan to tailor responses to specific threats.
C. Providing education about first aid and triage is essential but is typically part of the implementation phase.
D. Assembling a response team follows understanding community needs and capabilities.
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