A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition?

A client who is pregnant and has cytomegalovirus (CMV)

An adolescent client who has foodborne botulism

A child who has erythema infectiosum

A young adult client who has herpes simplex virus type 1 (HSV-1)

Answer and Explanation

The Correct Answer is B

A. Cytomegalovirus (CMV) is not nationally notifiable, though it can have significant effects, especially in pregnant women.

B. Foodborne botulism is a nationally notifiable condition due to its potential for widespread outbreaks and severe health consequences.

C. Erythema infectiosum, or fifth disease, is not a nationally notifiable disease, although it is recognized in clinical settings.

D. Herpes simplex virus type 1 (HSV-1) is common and not considered a nationally notifiable infectious disease.

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Correct Answer is C

Explanation

A. Concerns about participation in team sports are important, but they do not directly warrant a request for a high-frequency chest compression vest.

B. Discomfort with nebulizer treatments suggests the need for alternate therapies but does not specifically indicate a need for the vest.

C. A statement regarding a small amount of mucus after percussion therapy suggests that traditional methods of airway clearance may not be effective enough, indicating a need for a high-frequency chest compression vest to help mobilize mucus.

D. A fever may indicate an infection or exacerbation but does not directly relate to the need for a high-frequency chest compression vest.

A. Decreased Heart Rate B. Peeling of the soles of the feet C. Pain in weight-bearing joints D. Fever unresponsive to antipyretics

Correct Answer is D

Explanation

A. Decreased heart rate is not typical; children with Kawasaki disease often experience tachycardia.

B. Peeling of the soles of the feet is more commonly observed in the convalescent phase of Kawasaki disease rather than the acute phase.

C. Pain in weight-bearing joints can occur in Kawasaki disease but is not the hallmark symptom during the acute phase.

D. Fever unresponsive to antipyretics is a classic finding in the acute phase of Kawasaki disease, indicating ongoing inflammation and a need for further intervention.

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A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition?

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Naxlex Comprehensive Predictor Exams

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