A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department?

Rotavirus

Pertussis

Respiratory syncytial virus

Group B

Answer and Explanation

The Correct Answer is B

a.   Rotavirus infections are typically reported to local health departments, but they are not generally considered reportable diseases to state health departments.
b.   Pertussis, also known as whooping cough, is a reportable disease in most jurisdictions due to its contagious nature and potential for outbreaks.
c.   Respiratory syncytial virus (RSV) infections are not usually reportable to state health departments unless they are part of a larger outbreak or cluster of cases.
d.   Group B streptococcus (GBS) infections, while significant in certain populations such as newborns, are not typically reportable diseases to state health departments.

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Correct Answer is B

Explanation

a. Providing a rest period prior to meals may be appropriate for some clients, but it is not a standard technique for managing dysphagia during mealtime.
b. Elevating the head of the client’s bed to 30 degrees during mealtime helps prevent aspiration and facilitates swallowing in clients with dysphagia.
c. Instructing the client to place her chin toward her chest when swallowing is not recommended and may increase the risk of aspiration.
d. Withholding fluids until the end of the meal is not recommended for clients with dysphagia, as they may need fluids to help with swallowing and to prevent dehydration.

A. Review current literature regarding client falls B. Implement a fall prevention plan C. Identify clients who are at risk for falls D. Notify staff of the increased fall rate

Correct Answer is C

Explanation

a. While reviewing current literature is an important step in the quality improvement process, it should not be the first action taken after problem identification.
b. Implementing a fall prevention plan is an important step but should be based on a thorough assessment of clients at risk for falls, which should be done first.
c. Identifying clients who are at risk for falls is the first step in addressing the issue of increased falls, as it allows for targeted interventions and prevention strategies.
d. Notifying staff of the increased fall rate may be necessary but should not be the first action taken. Identifying clients at risk for falls should be prioritized to implement preventive measures.

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A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department?

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Naxlex Comprehensive Predictor Exams

A nurse is supervising assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?

Correct Answer is B

Explanation

A nurse working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?

Correct Answer is C

Explanation

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