A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?

Sarcoptes scabiei

Impetigo contagiosa

Human papillomavirus

Neisseria gonorrhoeae

Answer and Explanation

The Correct Answer is D

Neisseria gonorrhoeae is the bacterium responsible for the sexually transmitted infection known as gonorrhea. Gonorrhea is a reportable communicable disease, meaning healthcare providers are required to report cases to the appropriate public health authorities. This allows for tracking and monitoring of the disease, implementation of appropriate public health measures, and prevention of further spread of the infection.

Sarcoptes scabiei: This refers to scabies, a parasitic infestation caused by mites. While scabies can be contagious, it is not typically a reportable disease to the state health department.

Impetigo contagiosa: Impetigo is a bacterial skin infection that can be caused by various bacteria, including Staphylococcus aureus and Streptococcus pyogenes. Although it is contagious, it is not typically a reportable disease to the state health department.

Human papillomavirus (HPV): HPV is a viral infection transmitted through sexual contact. While it is a significant public health concern due to its association with cervical cancer and other conditions, it is not usually a reportable disease to the state health department. However, certain states may have specific reporting requirements for HPV-related diseases or conditions, such as cervical cancer. It is important to be familiar with the specific reporting guidelines of the state in question.

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Correct Answer is D

Explanation

Answer: D

Rationale:

A) "Wash your newborn's head under a stream of running water": Washing the newborn's head under a stream of running water is not safe due to the risk of startling the baby or causing discomfort. Instead, the head should be gently washed using a damp cloth or sponge.

B) "Bathe your newborn within 30 minutes after a feeding": Bathing a newborn within 30 minutes after feeding is not advisable as it may cause discomfort or spitting up due to the baby's full stomach. It is better to wait for some time after feeding before bathing the baby.

C) "Start the bath by washing the newborn's diaper area first": Starting the bath by washing the newborn's diaper area first is not recommended. The face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.

D) "The bath water should be 100 to 103 degrees Fahrenheit": This is the correct temperature range for a newborn's bath water. It is essential to ensure that the water is warm enough to be comfortable but not too hot, to avoid burns or discomfort. The temperature should be checked with a thermometer or the elbow to ensure it is safe for the baby.

A. Serve meals with plastic utensils. B. Assign another client to accompany the client to therapy sessions C. Assign the client to a private room D. Check on the client every 4 hr

Correct Answer is A

Explanation

Answer: A

Rationale:

A) Serve meals with plastic utensils: Serving meals with plastic utensils is essential to reduce the risk of self-harm. Metal utensils could be used by the client to inflict injury upon themselves, so providing plastic utensils is a necessary safety measure to prevent potential harm.

B) Assign another client to accompany the client to therapy sessions: Assigning another client to accompany the client to therapy sessions is not appropriate as it places an undue burden on another client and may not ensure the safety of the at-risk client. Professional staff should provide supervision and support.

C) Assign the client to a private room: Assigning the client to a private room might increase the risk of self-harm due to reduced supervision. It is generally better to place the client in a more observable setting where staff can frequently monitor their condition.

D) Check on the client every 4 hr: Checking on the client every 4 hours is insufficient for someone who has recently attempted suicide. More frequent monitoring, such as constant or every 15-minute checks, is necessary to ensure the client's safety and provide immediate intervention if needed.

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A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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