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 ["A","B","C"]

Explanation

A. The client has a do-not-resuscitate (DNR) prescription: Including the client’s code status is essential for ensuring that the receiving medical-surgical team follows the appropriate resuscitation plan. This information directly impacts emergency decision-making and aligns with the client's wishes.

B. The client has a continuous IV of lactated Ringer’s: Reporting active IV fluids is necessary for continuity of care, as it affects fluid balance, medication administration, and overall treatment planning. The receiving nurse must be aware of the infusion to monitor for effectiveness and complications.

C. The client was straight catheterized for 350 mL 2 hr ago: Details about recent procedures, such as urinary catheterization, are relevant to ongoing assessment and care. Monitoring urinary output helps evaluate kidney function and fluid status, making it crucial information for the next shift.

D. The client has Medicare insurance: Insurance details are important for administrative and billing purposes but do not directly impact immediate patient care. This information is typically managed by case management or the hospital’s financial services.

E. The client lives in a one-story home: While discharge planning may involve assessing home arrangements, this detail is not immediately necessary for a shift report. Relevant home considerations should be discussed later when planning for discharge and follow-up care.

A. "Rub your hands together for at least 10 seconds when washing them." B. "Keep your abdominal muscles tightened when lifting objects." C. "Ensure that 20% or less of calories are from saturated fats." D. "Engage in aerobic exercise 2 to 4 days per week for 20 minutes."

Correct Answer is C

Explanation

A. "Rub your hands together for at least 10 seconds when washing them.": While handwashing is important for preventing infections, the recommendation for effective handwashing is to rub hands together for at least 20 seconds, not 10. Emphasizing proper handwashing techniques is essential for promoting workplace health.

B. "Keep your abdominal muscles tightened when lifting objects.": While engaging the abdominal muscles can help provide stability during lifting, it is more important to emphasize proper lifting techniques, such as bending at the knees and keeping the load close to the body. This helps prevent injuries and promotes safe lifting practices in the workplace.

C. "Ensure that 20% or less of calories are from saturated fats.": This statement aligns with dietary guidelines aimed at reducing the risk of chronic diseases. Limiting saturated fat intake to 20% or less of total daily calories is important for maintaining heart health and overall well-being. This information is crucial for workers to understand healthy eating habits.

D. "Engage in aerobic exercise 2 to 4 days per week for 20 minutes.": While regular exercise is beneficial, the recommendation for aerobic exercise typically suggests at least 150 minutes of moderate-intensity exercise each week, which translates to about 30 minutes on most days. This statement underrepresents the amount of physical activity needed for optimal health.

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