An infectious disease nurse is reviewing electronic medical records on a group of clients.

Exhibits

Select the 4 clients whose diagnosis should be reported to the health department.

Client 1

Client 2

Client 3

Client 4

Client 5

Client 6

Answer and Explanation

Correct Answer : A,B,D,F

A. Client 1 - Lyme disease is a reportable infectious disease in many jurisdictions due to its potential public health implications. Given that it is transmitted by tick bites, it is crucial to notify the health department to help track the incidence and potential outbreaks in the area.

B. Client 2 - Acute hepatitis C is also a reportable disease, especially given the client's history of IV substance use. Reporting aids in monitoring and controlling the spread of the disease, as it can be transmitted through blood and sharing of needles.

C. Client 3 - Clostridium difficile infections are typically not reported to the health department, as they are often linked to healthcare settings and do not pose a public health threat in the same way as other infectious diseases.

D. Client 4 - Salmonellosis is a reportable illness as it can be associated with outbreaks linked to foodborne transmission. Reporting is essential for investigating sources of infection and preventing further cases.

E. Client 5 - While Streptococcal pharyngitis is common and can cause outbreaks, it is generally not classified as a reportable disease to public health departments. Instead, treatment and monitoring are usually managed within healthcare settings.

F. Client 6 - Pertussis (whooping cough) is highly contagious and considered a reportable disease due to its potential to cause outbreaks, especially among vulnerable populations. Reporting allows for monitoring and preventive measures to be implemented in the community.

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Correct Answer is D

Explanation

A. A brief loss of consciousness suggests a less immediate need for life-saving intervention, which would not warrant a red tag; this client would likely be assigned a yellow tag for delayed care.

B. Fixed pupils indicate severe neurological damage or death, making this client unlikely to benefit from emergency interventions. In a mass casualty event, this client would likely be assigned a black tag.

C. A client with burns covering 70% of their body is likely in critical condition, but due to the extensive nature of the injuries, this client may not receive immediate life-saving interventions and might be assigned a yellow or black tag.

D. A compromised airway represents an immediate, life-threatening condition requiring urgent intervention, making this client a priority for treatment and thus assigned a red tag.

A. "The ethics committee will need to make that decision." B. "The client's wishes are to not be given life-saving treatment." C. "Your partner will feel better with tube feeding." D. "We should discuss this with the rest of your partner's family."

Correct Answer is B

Explanation

A. Involving the ethics committee may be unnecessary if the client's advance directives are clear.

B. This response directly addresses the client's wishes as stated in their advance directives, reinforcing the importance of honoring their preferences regarding life-sustaining treatment.

C. Suggesting that tube feeding will make the client feel better contradicts the advance directives and does not respect the client's wishes.

D. Discussing the matter with the rest of the family may not be appropriate if the partner is the designated surrogate and the client's wishes are clearly outlined in the advance directives.

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An infectious disease nurse is reviewing electronic medical records on a group of clients. Exhibits Select the 4 clients whose diagnosis should be reported to the health department.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

Correct Answer is D

Explanation

A nurse is caring for a client who is unresponsive and has advance directives stating they do not want treatment to extend their life. The client's partner is their health care surrogate and requests the nurse begin tube feedings. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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An infectious disease nurse is reviewing electronic medical records on a group of clients.

Exhibits

Select the 4 clients whose diagnosis should be reported to the health department.