A public health nurse is developing guidelines for management of a botulism outbreak. Which of the following information should the nurse include?

High-risk individuals should receive immunoglobulin E (IgE).

Implement airborne precautions for clients who have botulism.

Administer an aminoglycoside medication.

Rinse skin with soap and water following exposure to the botulism toxin.

Answer and Explanation

The Correct Answer is D

A. High-risk individuals should receive immunoglobulin E (IgE): High-risk individuals do not receive immunoglobulin E for botulism. The treatment for botulism involves the use of antitoxin to neutralize the toxin, along with supportive care to manage symptoms.

B. Implement airborne precautions for clients who have botulism: Airborne precautions are not required for botulism because it is not transmitted through the air. Botulism is primarily contracted through ingestion of contaminated food or wound contamination, so standard precautions are generally sufficient.

C. Administer an aminoglycoside medication: Aminoglycosides are not indicated for treating botulism. The mainstay of treatment includes administering botulinum antitoxin and providing supportive care. Antibiotics may be necessary for any secondary infections but are not the primary treatment for botulism itself.

D. Rinse skin with soap and water following exposure to the botulism toxin: Rinsing the skin with soap and water after exposure to the botulism toxin is an appropriate action. This practice helps eliminate the toxin from the skin, reducing the risk of absorption and potential harm.

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Correct Answer is B

Explanation

A. Design interventions for a student's individual education plan (IEP): This action focuses on addressing the specific needs of an individual student, which is more aligned with secondary prevention by providing tailored support for those who may already be at risk.

B. Teach students about healthy food choices: This intervention addresses primary prevention by promoting healthy behaviors and lifestyle choices that can help prevent health issues before they occur. Educating students about nutrition empowers them to make informed decisions that support their overall health.

C. Perform first aid for minor injuries: Providing first aid is a reactive measure that addresses immediate health issues rather than preventing them from occurring in the first place. This intervention aligns more closely with secondary prevention, which focuses on managing health conditions after they arise.

D. Perform scoliosis screenings for students: Screening for scoliosis is a method of identifying potential health issues early, which is characteristic of secondary prevention. It aims to detect and address problems early rather than preventing them altogether.

A. "The client has a new prescription for incentive spirometry." B. "The client's partner plans to return later today." C. "The client has no living family members." D. "I initiated a consultation by a nutritionist."

Correct Answer is C

Explanation

A. "The client has a new prescription for incentive spirometry.": This statement is more appropriate for the "Assessment" or "Recommendation" section, as it pertains to current treatment plans and interventions rather than the background context of the client's history.

B. "The client's partner plans to return later today.": This information is relevant to the client's social support and engagement but is not critical background information. It may be included in the "Situation" or "Recommendation" sections instead.

C. "The client has no living family members.": This statement is pertinent to the "Background" portion, as it provides important context regarding the client's social situation and support system. Understanding the client's background helps the receiving nurse assess potential psychosocial needs and planning for care.

D. "I initiated a consultation by a nutritionist.": This action relates to ongoing care and assessment of the client's nutritional needs, making it more appropriate for the "Assessment" or "Recommendation" section. It is not part of the historical background needed for effective handoff.

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A public health nurse is developing guidelines for management of a botulism outbreak. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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