Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?

Answer and explanation

The correct answer is C.

Choice A rationale

Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.

Choice B rationale

Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.

Choice C rationale

Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.

Choice D rationale

Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While older adults living in subsidized housing near an airport may have exposure to various environmental hazards, lead poisoning is not typically associated with these conditions. Lead poisoning is more commonly associated with exposure to lead-based paint, which is often found in older homes.

Choice B rationale

Young adults who frequently camp and hike in remote desert areas are not typically at high risk for lead poisoning. Lead exposure is more commonly associated with certain occupational environments and older residential buildings.

Choice C rationale

While a diet high in fish and other seafood can expose individuals to certain environmental contaminants, lead poisoning is not typically associated with these food sources. Lead exposure is more commonly associated with certain occupational environments and older residential buildings.

Choice D rationale

Families with young children living primarily in 100-year-old farmhouses would likely benefit most from a lead poisoning education and screening program. Older homes, particularly those built before 1978, often contain lead-based paint, which can pose a significant risk for lead poisoning, especially in young children.