The public health nurse is investigating a botulism outbreak. The public health nurse understands that which of the following is the greatest risk factor for development of the disease?
A recent potluck that had a petting zoo
A recent potluck that served spinach
A recent potluck that served baked beans out of a bent can
A recent potluck that served pork products
The Correct Answer is C
A. A recent potluck that had a petting zoo: While petting zoos can be sources of zoonotic infections like E. coli or Salmonella, they are not associated with botulism, which comes from improperly processed foods.
B. A recent potluck that served spinach: Spinach can harbor bacterial infections like E. coli or Listeria, but it is not a common source of botulism unless improperly canned.
C. A recent potluck that served baked beans out of a bent can: Botulism is caused by Clostridium botulinum, a bacterium that produces neurotoxins in improperly canned, preserved, or stored foods. A bent or bulging can suggests contamination and potential toxin production, making it the most likely cause of botulism in this scenario.
D. A recent potluck that served pork products: Pork can transmit trichinosis (from undercooked meat) or bacterial infections (Salmonella, Listeria), but botulism is primarily linked to canned foods, not pork products.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Communicate concern with chain of command: Addressing moral distress requires advocating for ethical concerns. Reporting issues to supervisors or the chain of command can initiate discussions and potential solutions.
B. Seek support from ethics committees: Ethics committees provide guidance and a structured way to resolve ethical dilemmas, helping nurses navigate morally distressing situations.
C. Be proactive: Taking a proactive approach—such as staying informed on ethical policies and seeking resolution early—can help prevent worsening distress.
D. Examine ways to work toward addressing the stressors: Identifying specific causes of moral distress and finding ways to address them, whether through self-reflection or systemic changes, promotes resilience and ethical practice.
E. Avoid discussing with others situations leading to moral distress: Suppressing concerns can worsen distress and lead to burnout. Open discussions with trusted colleagues, mentors, or support groups can help process emotions and develop solutions.
Correct Answer is B
Explanation
A. Hepatitis B: Hepatitis B is a bloodborne disease, primarily spread through contact with infected bodily fluids, not through a vector.
B. Rocky Mountain spotted fever: Rocky Mountain spotted fever is a vector-borne disease transmitted by tick bites. Vectors are living organisms, such as mosquitoes or ticks, that carry infectious agents.
C. E. coli O157:H7: E. coli is a foodborne illness that spreads through contaminated food or water, not via a vector.
D. Anthrax: Anthrax is a bacterial infection that spreads through direct contact, ingestion, or inhalation of spores, not through a vector.
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