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?
Please select all that apply:
Client 1
Client 2
Client 3
Client 4
Correct Answer : B,C,D
Choice A rationale: Herpes zoster, also known as shingles, is not a notifiable disease. It is caused by the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant in the body and can reactivate years later, causing shingles.
Choice B rationale: Elevated lead levels in a child is a notifiable condition. Lead poisoning can cause serious health problems, particularly in children, and public health departments track cases to identify sources of lead and prevent further exposure.
Choice C rationale: Streptococcus pyogenes, also known as Group A Streptococcus, can cause a variety of infections, some of which are notifiable diseases. These include invasive Group A Streptococcal disease and streptococcal toxic shock syndrome.
Choice D rationale: Tuberculosis is a notifiable disease. The Mantoux tuberculin skin test is used to detect tuberculosis infection. A reddish induration greater than 10mm, especially in a client with symptoms of tuberculosis and a history of travel to an area where tuberculosis is endemic, is suggestive of tuberculosis infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The first action to take in the initial phase of planning a smoking cessation program should be to determine the prevalence of smoking in the community. This is important because it helps to understand the magnitude of the problem and the potential impact of the program. It also helps in setting realistic goals for the program and in securing funding and other resources.
Choice B rationale
While formulating objectives for the smoking cessation program is an important step, it should come after determining the prevalence of smoking in the community. The objectives should be based on the needs and characteristics of the target population, which can only be understood by first assessing the prevalence.
Choice C rationale
Gaining community support for the program is crucial for its success. However, this should come after the prevalence of smoking has been determined and objectives for the program have been formulated.
Choice D rationale
Evaluating the methods of successful smoking cessation programs can provide valuable insights for planning the program. However, this should not be the first action. The first step should be to understand the extent of the problem in the community.
Correct Answer is C
Explanation
Choice A rationale
The Local Red Cross chapter is not responsible for reporting cases of Lyme disease to the CDC. The Red Cross is primarily involved in disaster response, blood donation, health and safety training and education, and support to military families.
Choice B rationale
The Hospital infection control department is not responsible for reporting cases of Lyme disease to the CDC. While hospital infection control departments play a crucial role in preventing and controlling infections within healthcare settings, they do not typically report cases of diseases like Lyme disease to national public health agencies.
Choice C rationale
The State health department is responsible for reporting cases of Lyme disease to the CDC. Reports of Lyme disease are routinely collected and verified by state and local health departments in accordance with their legal mandate and surveillance practices. After removal of personal identifiers, selected information on cases is shared with the CDC through the National Notifiable Diseases Surveillance System (NNDSS)4.
Choice D rationale
The Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and coordination of U.S. Public Health Service commissioned corps and communicates the best available scientific information to advance the health of the nation.
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