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

Human papillomavirus

Neisseria gonorrhoeae

Impetigo contagiosa

Answer and Explanation

The Correct Answer is C

Neisseria gonorrhoeae is a sexually transmitted infection that is reportable to public health authorities due to its potential for spreading rapidly within a population and its significant public health implications. Reporting cases of Neisseria gonorrhoeae infection allows for appropriate monitoring, treatment, and control measures to be implemented to prevent further transmission and protect public health.

A. Sarcoptes scabies, which causes scabies, is a contagious skin infestation but is not typically a reportable condition to the state health department.

B. Human papillomavirus (HPV) is a common sexually transmitted infection, but it is not generally reportable unless it is associated with certain high-risk strains and leads to specific conditions such as cervical cancer.

D. Impetigo contagiosa, a bacterial skin infection, is not usually a reportable condition unless there is an outbreak or unusual circumstances warranting public health intervention.

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Correct Answer is ["A","C"]

Explanation

A. Assign the client to a negative-pressure airflow room:Varicella zoster (chickenpox) is highly contagious and can be transmitted through airborne droplets.A negative-pressure airflow room helps prevent the spread of the virus to other patients and healthcare workers.

B.Have visitors remain at least 0.91 m (3 feet) away from the client: While maintaining distance is generally advisable, it is not the primary intervention for varicella. The focus should be on preventing transmission through other means.

C.Initiate contact precautions for the client:Correct!Contact precautions are essential for varicella-zoster patients. This includes using gloves and gowns when in direct contact with the client or their environment. Airborne precautions are also recommended because varicella is highly contagious.

D.Administer aspirin if the client develops a fever: Aspirin is generally avoided in children with varicella due to the risk of Reye’s syndrome. Acetaminophen (paracetamol) is a safer choice for fever management.

A. Soiled linens are placed on the floor. B. Dampened cloths are used for dusting the area. C. Uncapped sharps are put in a puncture-resistant container. D. Waste containers are lined with single bags

Correct Answer is A

Explanation

Soiled linens are placed on the floor.

Soiled linens placed on the floor can potentially harbor pathogens and serve as a source of infection. It is important to handle soiled linens properly by placing them in designated containers or bags for proper disposal or laundering.

Dampened cloths used for dusting the area in (option B) is incorrect because it may be a source of infection if they are not properly cleaned and disinfected between uses. It is important to use clean and dry cloths for dusting, or if dampened cloths are used, they should be washed and disinfected regularly.

Uncapped sharps put in a puncture-resistant container in (option C) is incorrect because are not a direct source of infection. However, it is crucial to handle sharps safely to prevent accidental needlestick injuries and potential transmission of bloodborne pathogens. Proper disposal of sharps in puncture-resistant containers is important for safety and infection control.

Waste containers lined with single bags in (option D) is incorrect because they are not a direct source of infection. Using single bags in waste containers helps with proper disposal and prevents leakage or spillage of waste materials. It is important to handle and dispose of waste according to institutional policies and infection control guidelines.

In summary, when caring for an immunocompromised client, the nurse should be vigilant about sources of infection. Placing soiled linens on the floor can be a potential source of infection and should be avoided. Proper handling of sharps, using clean cloths for dusting, and following appropriate waste disposal practices are also important for infection control.

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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

A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Correct Answer is ["A","C"]

Explanation

A nurse is providing care to a client who is immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Correct Answer is A

Explanation

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