A nurse manager in a community health clinic is reviewing the medical records of clients who have diagnoses of communicable diseases. Which of the following infectious diseases should the nurse report to the Centers for Disease Control and Prevention?
Impetigo
Pneumocystis pneumonia
Human papilloma virus
Hepatitis A
The Correct Answer is D
A. Impetigo: Impetigo is a common superficial skin infection and is typically not a nationally notifiable disease. Reporting is usually not required to the CDC unless part of a specific outbreak investigation.
B. Pneumocystis pneumonia: This infection is often associated with immunocompromised individuals, such as those with HIV/AIDS, but it is not a reportable condition to the CDC under standard public health surveillance.
C. Human papilloma virus: HPV infections are common and typically not reportable to the CDC for surveillance purposes, although certain high-risk HPV-related cancers are tracked indirectly.
D. Hepatitis A: Hepatitis A is a nationally notifiable disease due to its potential for outbreaks and public health impact. Cases must be reported to local and state health departments, which in turn report to the CDC to monitor and control the spread of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer terbutaline subcutaneously as needed for contractions: Terbutaline is a tocolytic used to suppress preterm labor, not to manage preeclampsia or magnesium sulfate therapy. Its use is unrelated to the care of a client receiving magnesium sulfate for seizure prophylaxis.
B. Monitor the client's blood pressure every 2 hr: In severe preeclampsia, blood pressure should be monitored more frequently than every 2 hours—typically every 15–30 minutes initially—because rapid changes can occur, and close monitoring is critical to prevent complications.
C. Place suction equipment at the client's bedside: Magnesium sulfate can cause respiratory depression as a serious adverse effect. Having suction equipment readily available ensures immediate intervention if the client experiences decreased respiratory effort or airway compromise, making this an essential safety measure.
D. Notify the provider of a urinary output of less than 50 mL/hr: While low urine output can indicate magnesium accumulation or renal impairment, the typical threshold for concern is less than 30 mL/hr. Although monitoring output is important, immediate bedside readiness for respiratory support is the priority intervention when administering magnesium sulfate.
Correct Answer is C
Explanation
A. Rupture the amniotic sac: Artificial rupture of membranes is contraindicated in complete placenta previa because it can trigger severe maternal hemorrhage due to placental location over the cervical os.
B. Medicate the client for pain: While pain management may be necessary, the immediate priority is maternal and fetal safety. Pain control does not address the life-threatening risk of bleeding with placenta previa.
C. Prepare the client for a cesarean section: Complete placenta previa requires delivery by cesarean section to prevent catastrophic hemorrhage. Preparing for surgery is the priority intervention for both maternal and fetal safety.
D. Perform a vaginal exam: Vaginal examination is contraindicated in complete placenta previa because it can disrupt the placenta and cause severe bleeding. It should not be performed.
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