A public health nurse is caring for an employee who has been exposed to anthrax. Which of the following actions should the nurse take?
Alert the family members of coworkers about possible exposure to anthrax.
Place the employee under quarantine for 14 days.
Refer coworkers who might have been exposed to a provider for prophylactic antibiotics.
Instruct the employee to wear a mask at work.
The Correct Answer is C
Choice A reason: Alerting the family members of coworkers about possible exposure to anthrax is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The family members of coworkers are not at risk of infection, and alerting them may cause unnecessary panic and stigma.
Choice B reason: Placing the employee under quarantine for 14 days is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The employee does not need to be isolated from others, and quarantine may interfere with their access to medical care and social support.
Choice C reason: Referring coworkers who might have been exposed to a provider for prophylactic antibiotics is an action that the nurse should take. Anthrax is a serious bacterial infection that can be fatal if left untreated. The coworkers who might have been exposed to the same source of anthrax as the employee should receive prophylactic antibiotics as soon as possible to prevent the infection from developing.
Choice D reason: Instructing the employee to wear a mask at work is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The employee does not need to wear a mask at work, and doing so may cause unnecessary discomfort and discrimination.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Removing fresh flowers from the client's home is not an action that the nurse should take when caring for a client who has MRSA. Fresh flowers do not pose a risk of transmitting MRSA, and may provide some psychological benefits for the client.
Choice B reason: Wearing a mask when within 3 feet of the client is not an action that the nurse should take when caring for a client who has MRSA. MRSA is not an airborne infection, and a mask is not necessary to prevent its spread. The nurse should wear gloves and a gown when in contact with the client or the client's environment, and perform hand hygiene before and after the contact.
Choice C reason: Encouraging the client to use a HEPA filter in the house is not an action that the nurse should take when caring for a client who has MRSA. A HEPA filter is not effective in removing MRSA from the air, and may not have any impact on the client's health. The nurse should educate the client on how to clean and disinfect the surfaces and items that may be contaminated with MRSA, such as bedding, towels, and personal items.
Choice D reason: Double bagging soiled dressings in polyethylene bags is an action that the nurse should take when caring for a client who has MRSA. This is a standard precaution to prevent the exposure of other people or the environment to the infectious material. The nurse should also label the bags as biohazardous waste and dispose of them according to the agency's policy.
Correct Answer is D
Explanation
The correct answer is D
Choice A reason:
Using the formula, we calculate the incidence rate as follows:
To determine the incidence rate, we use the formula:
Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize
Incidence rate = (3,144/314,400) x 100,000 = 1000
This means there are approximately 1000 new cases of chlamydia per 100,000 population in the state for the year.
Therefore this option is wrong.
Choice B reason:
Using the formula, we calculate the incidence rate as follows:
To determine the incidence rate, we use the formula:
Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize
Incidence rate = (3,144/314,400) x 10,000 = 100
This means there are approximately 1000 new cases of chlamydia per 10,000 population in the state for the year.
Therefore this option is wrong.
Choice C reason:
Using the formula, we calculate the incidence rate as follows:
To determine the incidence rate, we use the formula:
Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize
Incidence rate = (3,144/314,400) x 10,000 = 100
This means there are approximately 100 new cases of chlamydia per 10,000 population in the state for the year.
Therefore this option is wrong.
Choice D reason:
Using the formula, we calculate the incidence rate as follows:
To determine the incidence rate, we use the formula:
Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize
Incidence rate = (3,144/314,400) x 100,000 = 1000
This means there are approximately 1000 new cases of chlamydia per 100,000 population in the state for the year.
Therefore this option is correct.
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