An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?

Immediately evacuate the worker's nearby workspace and treat the worker and other potentially exposed workers.

Contact factory senior management to initiate education about workplace safety and exposure and clean the area.

Treat the client and obtain a comprehensive exposure history, then assess other workers who were potentially exposed.

Contact the Occupational Safety and Health Administration immediately and remove the offending chemical in the work environment.

Answer and Explanation

The Correct Answer is C

A. Evacuating the workspace may be premature without understanding the cause and extent of exposure. Immediate treatment is essential, but a comprehensive approach is needed.

B. Contacting management and cleaning the area are important but do not address the immediate need to treat the worker or investigate exposure.

C. Treating the client and obtaining a comprehensive exposure history is crucial for identifying the cause and planning further actions. Assessing other potentially exposed workers ensures broader safety.

D. Contacting OSHA is important for regulatory issues, but immediate patient care and investigation should take precedence to address the worker's current health needs.

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Correct Answer is A

Explanation

A. Tertiary prevention is correct as it involves managing and improving the quality of life for individuals who already have a chronic disease or disability. Rehabilitation and strength training aim to help the client live better despite the existing condition.

B. Primary prevention aims to prevent the onset of disease, which is not the focus here.

C. Workplace prevention is not a specific level of prevention; it may include aspects of primary and secondary prevention.

D. Secondary prevention involves early detection and intervention to prevent the progression of a disease, but since the client already has the condition, tertiary prevention is more applicable.

A. "Are you afraid of what your family will say?" B. "I don't know why you would stay with him." C. "Yes, you should, before he harms you badly." D. "Could we talk about developing a safety plan?"

Correct Answer is D

Explanation

A. Asking about family reactions may not address the immediate safety needs or emotional support required.

B. Dismissing or questioning the reasons for staying can be judgmental and not supportive.

C. While encouraging safety is important, it is more helpful to collaboratively work on a plan rather than making definitive statements.

D. Discussing a safety plan empowers the client and provides practical steps to ensure their safety, which is crucial for someone in an abusive situation.

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An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An occupational nurse has evaluated a worker for disabling degenerative disc disease due to repetitive motion at work. The client has scheduled rehabilitation for strength training to attempt to improve his quality of life. This is an example of which level of prevention?

Correct Answer is A

Explanation

A client who is physically abused by their partner mentions to the nurse "Someday I'll have to leave him." Which of the following would be the nurse's best response?

Correct Answer is D

Explanation

A nurse is assessing a client who presents with injuries and signs that may suggest intimate partner violence. Which of the following statements by the client would most likely indicate the need for further assessment and intervention?

Guidelines for communicating with a client whose ability to speak and understand English is questionable include which of the following? (Select all that apply)

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A student attending a lecture about human trafficking asked "Why don't they just leave? Which of the following are ways by which human traffickers force their victims to remain in their service? (Select all that apply)

Nurses caring for clients need to provide culturally competent care to an increasingly diverse population. Which statements accurately describe a characteristic of cultural diversity that exists in the United States? (Select all that apply)