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.

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

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.

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 C

Explanation

When a charge nurse observes the smell of alcohol on a nurse's breath, it raises concerns about their ability to provide safe and competent care to clients. Patient safety is of utmost importance, and the charge nurse must take immediate action to address the situation.

Removing the nurse from the client care area ensures that the nurse is not involved in direct patient care while their ability to provide safe care is in question. This step helps mitigate potential risks to patient safety.

B and D- After removing the nurse from the client care area, further actions can be taken, such as documenting the objective findings about the situation and informing the supervisor. However, the immediate priority is to ensure patient safety by removing the nurse from the care area.

A- Assigning clients to the remaining staff can be done once the situation has been addressed and a suitable replacement for the nurse has been arranged.

A. "Client stated, "I lost my balance and fell when I got out of bed to go to the bathroom!" B. "The client fell because the assistive personnel did not place nonskid slippers on the client." C. The client does not appear to have any injuries resulting from the fall." D. "An incident report has been completed and sent to risk management."

Correct Answer is A

Explanation

This statement accurately reflects the client's own account of what happened, providing important information about the circumstances leading to the fall. Including the client's statement helps document the client's perspective and can contribute to a more comprehensive understanding of the event.

"The client fell because the assistive personnel did not place nonskid slippers on the client." This statement assigns blame to the assistive personnel without sufficient evidence. It is important to maintain objectivity and avoid making assumptions or assigning fault without proper investigation or documentation of facts.

"The client does not appear to have any injuries resulting from the fall." While it is important to assess the client for any injuries after a fall, documenting this information may be more appropriate in the client's assessment or nursing notes rather than in the specific documentation about the fall incident itself.

"An incident report has been completed and sent to risk management." While it is important to report falls and complete an incident report for quality improvement and risk management purposes, this information is more relevant to internal documentation and reporting processes rather than inclusion in the medical record for the client's care.

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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 charge nurse in a long-term care facility notices the smell of alcohol on a nurse's breath. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?

Correct Answer is A

Explanation

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