The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center.
The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters.
What should be the nurse’s initial action?
Report the presence of a viral endemic at the daycare center.
Confirm the number of children exhibiting symptoms.
Verify that the children sent home did indeed develop chickenpox.
Determine the number of people potentially exposed.
The Correct Answer is C
Answer and explanation The correct answer is C. Choice A rationale
Reporting the presence of a viral endemic at the daycare center would be premature without first confirming the diagnosis of the children sent home.
Choice B rationale
While confirming the number of children exhibiting symptoms is important, it is more crucial to first verify that the children sent home did indeed develop chickenpox.
Choice C rationale
The nurse’s initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella- zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
Choice D rationale
Determining the number of people potentially exposed is an important step in managing a chickenpox outbreak. However, this should be done after confirming the diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the dissemination of all educational pamphlets among the served counties indicates successful distribution of information, it does not necessarily reflect a change in health outcomes or behaviors.
Choice B rationale
Although a high rating from workshop attendees indicates that the program was well-received, it does not provide measurable health outcomes.
Choice C rationale
A decrease in cardiac-related fatalities by 109% six months after the program’s presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
Choice D rationale
While a commitment to adopting a healthier lifestyle from 65% of the program’s participants is a positive outcome, it is based on self-report and does not provide direct evidence of a decrease in strokes or acute coronary syndrome.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Identifying the issue the facility is facing is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also determine actions to address the issue, identify parameters to monitor, and consider all of these steps together.
Choice B rationale
Determining actions to address the issue is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, identify parameters to monitor, and consider all of these steps together.
Choice C rationale
Identifying parameters to monitor to ensure all essential personnel are aware of the communication tree is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, determine actions to address the issue, and consider all of these steps together.
Choice D rationale
All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree. By considering all of these steps together, the Incident Command team can effectively address the communication issue and improve communication within the facility.
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