A nurse manager in a public health clinic is reviewing the charts of five recent clients.
The nurse manager should identify which of the following clients as having conditions that require national notification? Select all that apply.
Client 1
Client 2
Client 3
Client 4
Client 5
Correct Answer : B,D,E
A. Client 1, diagnosed with streptococcus pyogenes, commonly known as strep throat, is not typically a nationally notifiable condition unless it is part of an outbreak or has other public health implications or causes streptococcal toxic shock syndrome.
B. Elevated blood lead levels are reportable to local health departments due to the severe health risks, especially in children. Lead poisoning is a nationally notifiable noninfectious condition.
C. Herpes zoster (shingles) is not a nationally notifiable condition. It is a reactivation of the varicella-zoster virus, which causes chickenpox, but does not typically require reporting unless there is a significant outbreak or other public health concern.
D. Tuberculosis (TB) is a notifiable disease. The client's symptoms, positive Mantoux test, and travel history are indicative of active TB, which requires reporting to public health authorities for proper tracking and management.
E. Chlamydia is a reportable sexually transmitted infection (STI). Positive tests need to be reported to ensure public health measures can be taken to prevent the spread and provide treatment to affected individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The role of a coordinator involves organizing and arranging the necessary services and equipment for a client, ensuring a smooth transition from hospital to home.
B. Acting as an advocate involves supporting the client’s needs and rights, but arranging for equipment delivery is more about coordination.
C. A consultant provides expert advice and guidance but does not typically arrange for services directly.
D. A systems allocator is involved in resource distribution on a larger scale and not specifically in arranging individual client services.
Correct Answer is B
Explanation
Rationales:
A. Directing conversation solely to parents may exclude the adolescent's perspective and feelings.
B. Understanding the impact on family roles helps assess and support the entire family's needs.
C. Career plans may not be a priority during discussions about a serious illness such as leukemia.
D. Involving another family may not be necessary unless requested by the family of the adolescent.
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