A home health nurse is visiting a client who has colon cancer.
The client states, “I do not want any further treatment.”. What should the nurse do?

Request a referral for a social worker.

Discuss the client’s wishes with their provider.

Ask the client why they do not want to continue treatment.

Instruct the client that they need to change their advance directives first.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.

Choice B rationale

Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.

Choice C rationale

This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.

Choice D rationale

Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale: Herpes zoster, also known as shingles, is not a notifiable disease. It is caused by the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant in the body and can reactivate years later, causing shingles.

Choice B rationale: Elevated lead levels in a child is a notifiable condition. Lead poisoning can cause serious health problems, particularly in children, and public health departments track cases to identify sources of lead and prevent further exposure.

Choice C rationale: Streptococcus pyogenes, also known as Group A Streptococcus, can cause a variety of infections, some of which are notifiable diseases. These include invasive Group A Streptococcal disease and streptococcal toxic shock syndrome.

Choice D rationale: Tuberculosis is a notifiable disease. The Mantoux tuberculin skin test is used to detect tuberculosis infection. A reddish induration greater than 10mm, especially in a client with symptoms of tuberculosis and a history of travel to an area where tuberculosis is endemic, is suggestive of tuberculosis infection.

A. The anthrax vaccine is ineffective following direct anthrax exposure. B. Ciprofloxacin should be administered for asymptomatic clients who were directly exposed to anthrax. C. Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax. D. Manifestations of anthrax infection appear within 3 days of exposure.

Correct Answer is B

Explanation

Choice A rationale

The anthrax vaccine is not ineffective following direct anthrax exposure. In fact, the vaccine is used as a preventive measure for individuals who are at high risk of exposure to anthrax.

However, in the event of widespread public exposure, the vaccine alone may not be sufficient.

Choice B rationale

Ciprofloxacin is a recommended treatment for asymptomatic individuals who were directly exposed to anthrax. It is part of the post-exposure prophylaxis (PEP) for anthrax and is used to prevent the development of the disease.

Choice C rationale

Prophylactic treatment should indeed be provided to clients following exposure to anthrax. However, the duration is not just 10 days. The recommended duration of post-exposure prophylaxis for anthrax is 60 days.

Choice D rationale

Manifestations of anthrax infection do not necessarily appear within 3 days of exposure. The incubation period for anthrax can vary widely, from a few days to several weeks, depending on the type of anthrax (cutaneous, inhalation, or gastrointestinal) and the amount of spores a person is exposed to.

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A home health nurse is visiting a client who has colon cancer.The client states, “I do not want any further treatment.”. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the following clients as having conditions that require national notification? Please select all that apply:

Correct Answer is ["B","C","D"]

Explanation

When developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure, what information should be included?

Correct Answer is B

Explanation

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A public health nurse learns that a client is being treated for active tuberculosis.What action should the nurse take to prevent the spread of tuberculosis within the community?

A home health nurse is visiting a client who has colon cancer.
The client states, “I do not want any further treatment.”. What should the nurse do?