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.
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Related Questions
Correct Answer is A
Explanation
A. HSV-2 is a viral infection that is both chronic and incurable: Unlike gonorrhea (a bacterial infection that can be treated with antibiotics), HSV-2 (Herpes Simplex Virus 2) is a lifelong viral infection with no cure. Antiviral medications can help manage outbreaks but do not eliminate the virus.
B. HSV-2 is extremely expensive to treat: While HSV-2 requires ongoing management, it is not necessarily more expensive than treating antibiotic-resistant gonorrhea, which can require costly treatments.
C. HSV-2, like HIV, can become life-threatening: HSV-2 itself is not typically life-threatening, though it can cause complications in immunocompromised individuals. Unlike HIV, it does not severely weaken the immune system.
D. Once a person has been treated for HSV-2, the person is immune to further outbreaks: This is false because HSV-2 remains dormant in the body and can reactivate, causing recurrent outbreaks.
Correct Answer is D
Explanation
A. Imposition: Cultural imposition refers to forcing one’s own beliefs on another person, which is not the case here.
B. Brokering: Cultural brokering involves mediating between the patient and the healthcare system, which is not applicable in this scenario.
C. Awareness: Awareness means recognizing cultural differences but does not involve taking action, as demonstrated in this case.
D. Accommodation: Cultural accommodation involves making adjustments to support a patient's cultural practices without causing harm to others. By repositioning the bed, the nurse respects the patient’s religious beliefs and enhances comfort.
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