An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

Teach workers to choose personal strategies to cope with work stress.

Limit the amount of time workers spend in temperatures over 43.3° C (110° F).

Provide ear plugs for use at workstations throughout the factory.

Obtain dosimeters for employees to wear when using new machinery that emits radiation.

Require more frequent disinfection of work surfaces during influenza season.

Answer and Explanation

Correct Answer : B,C,D

A. Teach workers to choose personal strategies to cope with work stress: While teaching coping strategies is beneficial for mental well-being, it does not directly address physical agents in the environment. This intervention focuses on psychological stressors rather than physical environmental factors.

B. Limit the amount of time workers spend in temperatures over 43.3° C (110° F): Implementing measures to limit exposure to high temperatures is a crucial intervention for reducing physical stressors in the workplace. Prolonged exposure to extreme heat can lead to heat-related illnesses, so this action protects employees’ health.

C. Provide ear plugs for use at workstations throughout the factory: Providing earplugs is an effective intervention for mitigating noise exposure, which is a physical agent that can cause hearing loss and other health issues. This measure helps create a safer work environment by protecting employees from harmful noise levels.

D. Obtain dosimeters for employees to wear when using new machinery that emits radiation: Providing dosimeters is essential for monitoring radiation exposure among employees. This intervention directly addresses physical agents in the workplace by ensuring that workers are protected from harmful radiation levels and that exposure remains within safe limits.

E. Require more frequent disinfection of work surfaces during influenza season: While this measure is important for preventing the spread of infectious diseases, it primarily addresses biological agents rather than physical agents in the environment. This intervention focuses on hygiene and infection control rather than mitigating physical environmental stressors.

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Correct Answer is B

Explanation

A. Have adolescents lead peer discussions in schools about safe sexual practices: While this intervention promotes education and awareness, it primarily addresses social and educational factors rather than financial ones. It focuses on behavior change among peers rather than directly impacting financial barriers to healthcare access.

B. Distribute condoms through remote community clinics: This intervention directly addresses financial factors affecting community health by ensuring access to condoms, which may otherwise be a financial burden for some individuals. Providing free condoms helps reduce the economic barriers to safe sex practices and promotes better sexual health in the community.

C. Create commercial advertisements describing the long-term effects of HIV: While advertisements can raise awareness about HIV and its consequences, this intervention focuses on informational and awareness aspects rather than directly addressing financial barriers to health services or prevention resources.

D. Include information about perinatal HIV transmission at prenatal education classes: This intervention enhances education regarding HIV transmission but primarily addresses health education rather than financial factors. While it is crucial for preventing transmission, it does not focus on overcoming financial barriers that may limit access to necessary resources or care.

A. "I have a severe allergy to amoxicillin." B. "I get sick when I take diuretics." C. "I have a history of hearing problems." D. "I take prednisone for my asthma."

Correct Answer is A

Explanation

A. "I have a severe allergy to amoxicillin." A severe allergy to amoxicillin suggests a potential cross-reactivity with ceftriaxone, as both belong to the beta-lactam antibiotic class. While cross-reactivity between penicillins and cephalosporins is lower with third-generation cephalosporins like ceftriaxone, a history of severe allergic reactions, such as anaphylaxis, warrants consultation with the provider before administration.

B. "I get sick when I take diuretics." Adverse effects from diuretics do not typically indicate a contraindication to ceftriaxone. While diuretics like furosemide can interact with aminoglycosides to increase nephrotoxicity, ceftriaxone does not share this risk. Monitoring for individual tolerances is important, but this statement does not require holding the medication.

C. "I have a history of hearing problems." Ceftriaxone is not associated with ototoxicity, unlike aminoglycosides or vancomycin. A history of hearing problems does not necessitate withholding the medication, though the nurse should monitor for any new or worsening symptoms if concurrent ototoxic medications are prescribed.

D. "I take prednisone for my asthma." Corticosteroid use does not directly contraindicate ceftriaxone administration. While prolonged corticosteroid therapy may increase the risk of infections or mask symptoms of an allergic reaction, it does not warrant holding the antibiotic. The nurse should continue routine monitoring but can safely proceed with administration.

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An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

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