A nurse is caring for several clients at a homeless shelter who report manifestations of infectious diarrhea. Which of the following actions should the nurse take first?
Refer the clients for financial assistance to receive medications
Arrange for the clients to see a health care provider.
Provide teaching about hand washing for the clients.
Obtain an individual client exposure history.
The Correct Answer is D
A. Refer the clients for financial assistance to receive medications: While financial support is important for accessing treatment, it is not the immediate priority during an active outbreak. The nurse must first assess the scope and potential cause of the diarrhea to prevent further spread and guide appropriate interventions.
B. Arrange for the clients to see a health care provider: Medical evaluation is essential, especially if symptoms worsen or complications arise. However, this step should follow a thorough assessment of exposure to identify patterns, potential sources, and the need for urgent containment or broader screening efforts.
C. Provide teaching about hand washing for the clients: Hand hygiene is critical in preventing the transmission of infectious diarrhea. However, client education should come after identifying the exposure route to ensure teaching is targeted and effective in addressing the specific mode of transmission.
D. Obtain an individual client exposure history: The nurse’s first priority should be to gather detailed information about each client's symptoms, recent meals, travel, and contacts. This assessment helps identify common exposures, guides immediate containment efforts, and directs appropriate medical or public health responses to control a potential outbreak.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You should pull on the cord when unplugging items." Pulling on the cord can damage the cord or outlet, increasing the risk of electrical shock or fire. The correct practice is to pull from the plug itself, not the cord, to safely disconnect electrical devices.
B. "You should limit your use of extension cords." Limiting the use of extension cords reduces the risk of overloading circuits and electrical fires. Extension cords are intended for temporary use, and excessive or improper use can pose serious hazards.
C. "You should cover electrical cords with an area rug" Covering cords with rugs can cause them to overheat, wear out, or become damaged, creating a fire hazard. Cords should be placed safely where they are not pinched or hidden under rugs.
D. "You should secure extension cords with clear packing tape" Taping cords to the floor is unsafe as it can damage the insulation and increase the risk of tripping or electrical faults. Proper cord management involves using clips or cord covers designed for safety.
Correct Answer is ["C","D","E"]
Explanation
A. Use a family member as an interpreter when discussing services: Using a family member as an interpreter can lead to miscommunication, privacy issues, and misinterpretation of medical information. Professional interpreters should always be used to ensure accurate and confidential communication.
B. Explain that the client must use the available resources: Forcing a client to use services without considering their cultural values and personal preferences is not culturally competent care. This approach can alienate the client and reduce trust in the healthcare system.
C. Learn more about the client's values: Understanding the client’s cultural values helps the nurse tailor interventions and communication in a way that respects the client’s worldview and fosters trust in the nurse-client relationship.
D. Support the client as the owner of their own healthcare: Empowering the client promotes autonomy and respects their cultural beliefs, leading to more personalized and respectful care, which is key in culturally competent practice.
E. Review the client’s current health practices: Learning about the client’s existing health behaviors helps the nurse understand how cultural beliefs influence health decisions and how to integrate care without disrupting practices important to the client.
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