A student comes to the college health clinic with typical cold symptoms of fever, sneezing, and coughing, but the nurse also notes a rash with small white spots on the inside of the student's cheeks. Which of the following actions should be taken by the college health nurse?
Reassure the student that it is just a bad cold and will soon pass.
Inform all students, staff, and faculty of a possible measles exposure.
Inform all students, staff, and faculty of a possible rubella epidemic.
Tell the student to take two acetaminophen and drink lots of fluids.
The Correct Answer is B
A. Reassure the student that it is just a bad cold and will soon pass: This dismisses the symptoms and delays necessary public health intervention.
B. Inform all students, staff, and faculty of a possible measles exposure: Koplik spots (small white spots inside the cheeks) are a classic early sign of measles, which is highly contagious. Prompt notification is needed to prevent an outbreak.
C. Inform all students, staff, and faculty of a possible rubella epidemic: While rubella also causes a rash, it does not present with Koplik spots.
D. Tell the student to take two acetaminophen and drink lots of fluids: Symptomatic relief is important but does not address the risk of measles transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Toxicologist: Toxicologists specialize in studying the effects of chemicals on living organisms, including how chemicals interact with biological systems and potential toxic effects.
B. Chemist: A chemist studies the properties, composition, and reactions of substances but may not focus on physiological effects on the body.
C. Epidemiologist: An epidemiologist studies disease patterns in populations, including environmental exposures, but does not specialize in the physiological effects of chemicals.
D. Pharmacist: A pharmacist specializes in medications, including their mechanisms and interactions, but may not have in-depth knowledge of all chemical toxins.
Correct Answer is A
Explanation
A. A client receives a tetanus booster every 10 years: Primary prevention aims to prevent disease before it occurs. Vaccinations are a classic primary prevention measure.
B. A client with tetanus is given antibiotics and is placed on seizure precautions: This is tertiary prevention, as it focuses on managing an existing disease.
C. A client receives tetanus immunoglobulin after stepping on a nail: Post-exposure prophylaxis (PEP) is a secondary prevention strategy because it prevents disease progression after exposure.
D. A client is screened for a tetanus infection: Screening is secondary prevention, as it focuses on early detection, not prevention.
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