A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take?

Provide the Centers for Disease Control and Prevention (CDC) with the client's information.

Inform the client that they are required to have health department staff directly observe their treatment.

Determine whether the condition is reportable under state requirements.

Find out whether the condition is endemic in the client's neighborhood.

Answer and Explanation

The Correct Answer is C

A. "Provide the Centers for Disease Control and Prevention (CDC) with the client's information": While listeriosis is a nationally notifiable disease, reporting is first done at the state level, which then decides how to proceed with federal notification. Directly sending client information to the CDC is not the nurse’s role.

B. "Inform the client that they are required to have health department staff directly observe their treatment": Directly observed therapy (DOT) is typically used for diseases like tuberculosis, where adherence to a medication regimen is critical. Listeriosis treatment does not require such supervision.

C. "Determine whether the condition is reportable under state requirements": Listeriosis is a reportable disease in most states, but reporting guidelines vary. The nurse must follow state-specific regulations to ensure proper public health response and disease surveillance.

D. "Find out whether the condition is endemic in the client's neighborhood": Listeriosis is typically linked to foodborne outbreaks rather than geographic endemics. Identifying contaminated food sources is more relevant than determining neighborhood endemicity.

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Correct Answer is C

Explanation

A. Lower maternal morbidity rates: Rural health often does not reflect lower maternal morbidity rates. In fact, rural areas may experience higher maternal morbidity due to limited access to healthcare services, fewer prenatal resources, and a shortage of specialized medical providers, leading to potential complications during pregnancy.

B. Reduced incidence of death from motor-vehicle crashes: Rural areas tend to have higher rates of motor vehicle crashes due to factors such as longer travel distances, less regulated driving conditions, and often poorly maintained roads. These conditions contribute to an increased risk of accidents and fatalities in these regions.

C. Increased rates of chronic illness: Rural health is often characterized by increased rates of chronic illnesses, such as hypertension, diabetes, and obesity. Contributing factors include limited access to healthcare, fewer health education resources, socioeconomic disparities, and lifestyle factors like diet and exercise habits that may be less favorable in rural settings.

D. More frequent dental preventative care visits: Rural areas typically have fewer dental care resources and access, which can lead to less frequent dental visits for preventative care. This situation can result in higher rates of dental issues and a lack of regular screenings and treatments for oral health problems.

A. Change IV solution bags every 36 hr. B. Avoid the delegation of hygiene care to assistive personnel (AP). C. Wear sterile gloves when removing urinary retention catheters. D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.

Correct Answer is D

Explanation

A. Change IV solution bags every 36 hr: Changing IV solution bags every 36 hours may not align with evidence-based practices aimed at promoting cost-effective care. Instead, guidelines typically recommend changing them based on clinical need or specific protocols, which can help reduce waste and costs.

B. Avoid the delegation of hygiene care to assistive personnel (AP): Delegating hygiene care to assistive personnel is essential for effective team functioning and cost-effective care. Preventing delegation can lead to increased workloads for nursing staff, which may not be the most efficient use of resources.

C. Wear sterile gloves when removing urinary retention catheters: Wearing sterile gloves when removing urinary retention catheters is not necessary; clean gloves are sufficient for this procedure. Promoting correct practices that align with guidelines can help reduce costs associated with unnecessary supplies.

D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions: Educating staff on the correct use of PPE is vital for preventing infection, reducing the spread of illness, and minimizing healthcare costs associated with complications. Proper training ensures that resources are used effectively, promoting both safety and cost-effective care.

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A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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