A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?
Ensure client adherence to the medication regimen.
Perform tuberculosis screenings throughout the community.
Report the active case to the public health department.
Provide education to the community about the manifestations of tuberculosis.
The Correct Answer is C
Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.
Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.
Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.
Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.
Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.
Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.
Correct Answer is D
Explanation
Choice A reason : Palliative care does not end immediately upon the patient's death; it also supports the family through the bereavement process. This choice does not reflect an understanding of the full scope of palliative care services.
Choice B reason : While palliative care includes end-of-life care, it is not exclusively reserved for this period. It can be initiated at any stage of a serious illness, with the goal of improving quality of life and providing symptom relief.
Choice C reason : Palliative care does not aim to postpone death. Instead, it focuses on providing relief from the symptoms, pain, and stress of a serious illness, regardless of the diagnosis or stage of the disease.
Choice D reason : This statement accurately reflects the primary goal of palliative care, which is to improve the quality of life for both the patient and the family, by addressing physical, emotional, and spiritual needs.
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