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?
Please select all that apply:
Client 1
Client 2
Client 3
Client 4
Correct Answer : B,C,D
Choice A rationale: Herpes zoster, also known as shingles, is not a notifiable disease. It is caused by the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant in the body and can reactivate years later, causing shingles.
Choice B rationale: Elevated lead levels in a child is a notifiable condition. Lead poisoning can cause serious health problems, particularly in children, and public health departments track cases to identify sources of lead and prevent further exposure.
Choice C rationale: Streptococcus pyogenes, also known as Group A Streptococcus, can cause a variety of infections, some of which are notifiable diseases. These include invasive Group A Streptococcal disease and streptococcal toxic shock syndrome.
Choice D rationale: Tuberculosis is a notifiable disease. The Mantoux tuberculin skin test is used to detect tuberculosis infection. A reddish induration greater than 10mm, especially in a client with symptoms of tuberculosis and a history of travel to an area where tuberculosis is endemic, is suggestive of tuberculosis infection.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Organizing an event to improve the morale of the home health staff is a good practice for maintaining a positive work environment. However, it does not directly provide feedback regarding care quality.
Choice B rationale
Teaching clients’ family members how to care for a wound in the home setting is an important part of a home health nurse’s role. It ensures continuity of care and empowers family members to participate in the care process. However, this activity does not provide direct feedback on care quality.
Choice C rationale
Orienting staff members to a new piece of equipment that will be used in the home setting is crucial for ensuring safe and effective care. However, this activity does not provide direct feedback on care quality.
Choice D rationale
Tracking the number of postoperative clients who are readmitted to the acute care facility is the correct answer. This activity provides direct feedback on the quality of care provided by the home health agency. A high readmission rate may indicate issues with discharge planning, patient education, or follow-up care.
Correct Answer is D
Explanation
Choice A rationale
Notifying spiritual support personnel about a client who requests a visit is an important aspect of holistic care, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice B rationale
Requesting a dietitian consult for a client who asks for information about a vegan diet is important for the client’s nutritional health, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice C rationale
Asking social services to inform a client about community support organizations is a valuable part of discharge planning, but it is not the nurse’s priority action when reviewing information
to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.
Choice D rationale
This is the correct answer. Informing the physical therapist of activity restrictions for a client following a hip arthroplasty is the nurse’s priority action when reviewing information to report to other members of the interprofessional team. This information is crucial for the physical therapist to plan appropriate therapy and to ensure the client’s safety during therapy sessions.
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