A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

Ensure client adherence to the medication regimen.

Perform tuberculosis screenings throughout the community.

Report the active case to the public health department.

Provide education to the community about the manifestations of tuberculosis.

Answer and Explanation

The Correct Answer is C

Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.

Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.

Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.

Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.

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Correct Answer is C

Explanation

Choice A reason: Chronic obstructive pulmonary disease (COPD) can increase the risk of falls due to shortness of breath and general weakness. However, it is not the most significant risk factor compared to the musculoskeletal impact of osteoarthritis.

Choice B reason: Chronic kidney disease may contribute to an overall decline in health and can be associated with anemia or bone mineral disorders, which could indirectly increase fall risk. Nonetheless, it does not directly affect the musculoskeletal system as osteoarthritis does.

Choice C reason: Osteoarthritis is the correct answer because it directly affects the joints, leading to pain, stiffness, and reduced mobility. These symptoms can impair balance and coordination, significantly increasing the risk of falls in clients.

Choice D reason: Wide-angle glaucoma primarily affects vision. While visual impairment is a risk factor for falls, osteoarthritis has a more direct impact on the risk of falling due to its effect on joint function and stability.

A. 11/15,000 B. 6/15,000 C. 11/11,000 D. 6/11,000

Correct Answer is A

Explanation

Choice A reason: This statement is true and relevant. The prevalence proportion is the number of existing cases of a disease divided by the total population at risk. In this case, the existing cases of diabetes mellitus are 11 (6 new cases plus 5 old cases), and the total population at risk is 15,000. Therefore, the prevalence proportion is 11/15,000, which can be simplified to 0.00073 or 0.073%.

Choice B reason: This statement is false and misleading. The prevalence proportion is not calculated by using only the new cases of a disease, but by using the total number of existing cases. Using only the new cases would result in an underestimation of the prevalence proportion.

Choice C reason: This statement is false and misleading. The prevalence proportion is not calculated by using the difference between the total population and the existing cases of a disease, but by using the total population at risk. Using the difference would result in an overestimation of the prevalence proportion.

Choice D reason: This statement is false and misleading. The prevalence proportion is not calculated by using both the difference between the total population and the existing cases of a disease and the new cases of a disease, but by using the total number of existing cases and the total population at risk. Using both the difference and the new cases would result in an incorrect calculation of the prevalence proportion.

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A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

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Naxlex Comprehensive Predictor Exams

A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?

Correct Answer is C

Explanation

community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community?

Correct Answer is A

Explanation

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