A nurse at the public health department is participating in the development of emergency response plans for their community.
Obtain standing orders to treat infected individuals with ciprofloxacin
Teach heath care workers how to distinguish the disease from chickenpox
Vaccinate laboratory workers against the disease.
Perform routine screening to identify infected animals.
Implement routine vaccination for the disease for the general public population
Correct Answer : B,C
Rationale for Correct Choices:
- Teach healthcare workers how to distinguish the disease from chickenpox: Smallpox and chickenpox may initially present with similar rash-like symptoms. Rapid and accurate recognition by healthcare workers is critical to implement isolation protocols and prevent further transmission in a bioterrorism event.
- Vaccinate laboratory workers against the disease: Laboratory workers who may handle specimens suspected of containing smallpox virus are at high occupational risk. Pre-exposure vaccination is appropriate for these individuals to protect them during diagnostic and investigative procedures.
Rationale for Incorrect Choices:
- Obtain standing orders to treat infected individuals with ciprofloxacin: Ciprofloxacin is not effective against smallpox, which is caused by a virus. Using an antibiotic would not provide benefit unless there were bacterial complications. The preferred antiviral agent for smallpox is tecovirimat (TPOXX).
- Perform routine screening to identify infected animals: Smallpox does not occur in animals; it has no animal reservoir. Screening animals would not contribute to disease surveillance or prevention and is not a necessary step in smallpox preparedness.
- Implement routine vaccination for the disease for the general public population: Routine smallpox vaccination was stopped decades ago after global eradication. In a bioterrorism scenario, targeted vaccination (ring vaccination) would be used rather than mass immunization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Maintain a BMI between 28 and 32: A healthy BMI range is typically 18.5 to 24.9. A BMI of 28–32 is considered overweight or obese, which increases the risk for cardiovascular disease, diabetes, and joint problems. Therefore, this is not a recommended target for older adults.
B. Participate in weight-bearing exercises: Weight-bearing activities, such as walking or light strength training, help maintain bone density and prevent osteoporosis. They also support mobility, balance, and cardiovascular health in older adults.
C. Complete a lead poisoning screening every two years: Lead screening is generally targeted toward children or adults at occupational risk. Routine screening for lead poisoning is not recommended for older adults unless specific exposure risk is identified.
D. Receive an influenza vaccine every year: Yearly influenza vaccination is recommended for older adults due to their increased risk of complications from flu infections. It is a key component of preventive care.
E. Limit alcohol to no more than one drink per day or four per week: Older adults metabolize alcohol differently and are more sensitive to its effects. Limiting intake as recommended reduces the risk of falls, liver damage, and interactions with medications.
Correct Answer is ["A","D","E"]
Explanation
A. Teaching a class about the risks of cigarette smoking: This is a primary prevention activity focused on educating children to prevent the initiation of smoking and related health problems before they occur.
B. Recommending a seating arrangement for a child in a body cast: This is a tertiary prevention activity that involves managing existing health conditions and preventing complications, not primary prevention.
C. Creating a plan of care for children who have a diagnosis of diabetes mellitus: This is tertiary prevention since it deals with managing an existing chronic illness to reduce complications.
D. Organizing a program to promote skateboard safety: This is primary prevention, aiming to prevent injuries associated with skateboarding by teaching safe practices before accidents happen. It targets a behavior to prevent harm.
E. Lobbying for funding for health promotion efforts: This supports primary prevention. By securing resources for health promotion, the nurse is contributing to initiatives that aim to prevent illness and promote well-being across the school community before health problems arise.
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