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 D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While having 80% of students participate in a voluntary sex education seminar is a positive outcome, it does not directly indicate the success of a pregnancy prevention program.
Participation in a seminar does not necessarily translate into behavior change. Students may attend the seminar but not apply the knowledge or skills learned, which would not result in a decrease in teenage pregnancies.
Choice B rationale
A reported average delay of 2 years for the first sexual encounter among students can be seen as a positive outcome, as it may reduce the risk of teenage pregnancies. However, this delay does not guarantee that students are using effective contraception when they do start having sex. Therefore, while this outcome may contribute to the success of a pregnancy prevention program, it is not the strongest evidence of success.
Choice C rationale
Parental support for a pregnancy prevention program in schools is important for the program’s implementation and sustainability. However, parental support does not directly result in a decrease in teenage pregnancies. Parents can be supportive of the program, but if the students do not apply the knowledge or skills learned, the number of teenage pregnancies may not decrease.
Choice D rationale
A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program’s success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies. If the school district reports a decrease in the number of teenage pregnancies, it indicates that the program is effectively helping students to prevent pregnancies.
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
Staying with someone for 10 hours post-injection is not a standard recommendation after receiving the Hepatitis B Vaccine (HBV). The vaccine is generally well-tolerated, and serious side effects are rare.
Choice B rationale
While it can be comforting to have a family member present during medical procedures, it is not necessary for the final injection of the HBV series.
Choice C rationale
While it is important to encourage vaccination among all eligible individuals, the immediate concern after healthcare workers receive the HBV is not about their family members’ vaccination status.
Choice D rationale
Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.
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