A nurse in a public health department is caring for a client.

Exhibits

Which of the following data in the client's medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Client statement about "bites"

Client report of myalgia

Temperature

Lymph node assessment

Travel history

Answer and Explanation

Correct Answer : A,D,E

A. Flea bites are a common way the plague is transmitted, particularly in areas where the disease is endemic. The client's description of flea bites supports this mode of transmission.
B. While myalgia (muscle pain) can occur in many infectious diseases, it is a nonspecific symptom and does not specifically indicate the plague. Many other conditions can also present with muscle aches, so this symptom alone is not indicative of the plague.
C. A fever is common in many types of infections and is not specific to the plague. The presence of a fever alone does not distinguish the plague from other infectious diseases. It must be considered along with more specific symptoms and history.
D. Tender, inguinal lymphadenitis (swollen and painful lymph nodes) is a characteristic sign of bubonic plague, indicating infection and inflammation.
E. Recent travel to South Asia, where the plague is more prevalent, increases the likelihood of exposure to the pathogen. This travel history is a significant risk factor for infection.

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Correct Answer is B

Explanation

A. Providing nutrition education is a form of primary prevention aimed at preventing the development of obesity-related health issues.
B. Screening for hearing loss in employees exposed to high levels of noise is a secondary prevention strategy, as it aims to detect and address health issues early to prevent further complications.
C. Providing education about safety and injury prevention is a primary prevention strategy designed to prevent injuries before they occur.
D. Coordinating disaster planning efforts is a preparedness measure and does not specifically fall under secondary prevention.

A. "A client's diagnosis can be posted on the communication board inside the client's room." B. "We should share our computer passwords with our manager." C. "HIPAA rules vary from state to state." D. "HIPAA rules allow clients to receive a copy of their medical records."

Correct Answer is D

Explanation

Rationales:
A. Posting a client's diagnosis violates HIPAA privacy regulations.
B. Sharing computer passwords compromises security and violates HIPAA regulations.
C. HIPAA rules are federal regulations and do not vary from state to state.
D. HIPAA allows clients to access their medical records, indicating an understanding of patient rights under HIPAA.

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A nurse in a public health department is caring for a client. Exhibits Which of the following data in the client's medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An occupational health nurse at a factory is planning upcoming health programs for employees. Which of the following actions demonstrates the use of secondary prevention strategies?

Correct Answer is B

Explanation

A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

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A nurse in a public health department is caring for a client.

Exhibits

Which of the following data in the client's medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.