A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits

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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Chronic obstructive pulmonary disease affects breathing but does not directly increase fall risk.
B. Chronic kidney disease can lead to fluid and electrolyte imbalances but does not directly increase fall risk.
C. Wide-angle glaucoma affects vision but does not necessarily increase fall risk.
D. Osteoarthritis can affect joint stability and mobility, increasing the risk of falls due to impaired balance and coordination.

A. Providing nutrition education to employees who have a BMI of greater than 30 B. Screening employees who were exposed to high levels of noise for hearing loss C. Providing education about safety and injury prevention for employees D. Coordinating disaster planning efforts at the factory

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.

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A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the following clients as having conditions that require national notification? Select all that apply.

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A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits

The nurse manager should identify which of the following clients as having conditions that require national notification? Select all that apply.