A team of nurse case managers is implementing a community-based palliative care program. They are meeting today to discuss their progress.

Exhibits

Select the 2 nurses who are performing actions in the evaluation phase of the nursing process.

A. The child is frequently absent from school: Chronic absenteeism can indicate neglect, particularly if there is no known illness or explanation. It suggests a lack of adequate supervision or possible efforts to hide signs of abuse.

B. The child's clothes are wrinkled and dirty: Consistently poor hygiene or unclean clothing can be a sign of neglect. It reflects a caregiver's failure to meet the child’s basic physical needs.

C. The child reports coughing all day: A cough alone is not indicative of abuse or neglect. It could result from many common, non-abuse-related conditions and does not support a maltreatment referral unless associated with other concerning signs.

D. The child is wearing open-toed shoes and the weather is cold outside: Inappropriate clothing for the weather can be a sign of neglect, especially if it occurs repeatedly. It may show a failure to provide for the child's health and safety.

E. The child tells the nurse that they are sick because they are bad: This statement suggests the child may have internalized blame and shame, which can be a psychological result of abuse. It is a red flag when seen alongside physical signs like bite marks.

A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics: Anthrax exposure can be fatal if not treated early. Public health protocols recommend prophylactic antibiotics such as ciprofloxacin or doxycycline for those potentially exposed. Timely referral helps prevent the onset of disease.

B. Place the employee under quarantine for 14 days: Quarantine is typically used for contagious diseases that spread person to person, such as COVID-19 or influenza. Anthrax is not spread between individuals, so quarantining an exposed person is unnecessary and not a standard public health measure for this pathogen.

C. Alert the family members of coworkers about their possible exposure to anthrax: Because anthrax does not spread from person to person, there is no need to notify family members of potential exposure. Such an action could cause unnecessary alarm and would not contribute to effective disease control or prevention.

D. Instruct the client to wear a mask at work: Wearing a mask does not prevent the progression of anthrax in an exposed individual nor does it protect others, as anthrax is not contagious between humans. This measure would not address the exposure risk or help in disease managemet.