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 A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Severe life stresses at any age can indeed increase the risk of suicide????. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide. This can include a wide range of stressors, such as relationship problems, financial difficulties, job loss, or serious health issues?.
Choice B rationale
While it is true that socioeconomic disadvantage is associated with higher rates of suicide¹³, it is not accurate to say that suicides predominantly occur in lower socioeconomic groups.
Suicide is a complex issue that can affect individuals across all socioeconomic strata. Factors such as mental health conditions, substance abuse, and access to lethal means also play significant roles¹.
Choice C rationale
Robust social support systems can indeed help prevent suicide¹?¹?¹?¹?¹?. Social support can provide individuals with a sense of belonging, improve their mood and outlook, and reduce feelings of isolation. It can also provide a safety net for individuals in crisis, offering them resources and interventions that can help mitigate suicide risk¹?¹?¹?¹?¹?.
Choice D rationale
The assertion that discussing suicide with individuals suffering from depression can be hazardous is not entirely accurate??[^10^]. While it is crucial to approach such discussions with sensitivity and care, open conversations about suicide can help identify individuals at risk and ensure they receive the help they need. It is essential, however, that these discussions are conducted by trained professionals who can provide appropriate support and referrals??[^10^].
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.
Choice B rationale
An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.
Choice C rationale
A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the
virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.
Choice D rationale
An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.
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