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 D
Explanation
A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.
B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.
C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.
D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.
Correct Answer is B
Explanation
A. Putting students on a diet if they weigh greater than 20% of their ideal weight: This is a tertiary prevention strategy, as it focuses on managing obesity after it has been diagnosed rather than early detection.
B. Weighing students to identify those who are overweight: Secondary prevention focuses on early detection and intervention to prevent disease progression. Weighing students allows for early identification of obesity and timely interventions.
C. Giving a presentation on the importance of exercise and physical fitness: This is primary prevention, which aims to prevent obesity before it occurs by promoting healthy habits.
D. Designing a game in which students select healthy food choices: This is also primary prevention, as it promotes healthy behaviors rather than identifying or managing existing obesity.
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