A student comes to the college health clinic with typical cold symptoms of fever, sneezing, and coughing, but the nurse also notes a rash with small white spots on the inside of the student's cheeks. Which of the following actions should be taken by the college health nurse?
Reassure the student that it is just a bad cold and will soon pass.
Inform all students, staff, and faculty of a possible measles exposure.
Inform all students, staff, and faculty of a possible rubella epidemic.
Tell the student to take two acetaminophen and drink lots of fluids.
The Correct Answer is B
A. Reassure the student that it is just a bad cold and will soon pass: This dismisses the symptoms and delays necessary public health intervention.
B. Inform all students, staff, and faculty of a possible measles exposure: Koplik spots (small white spots inside the cheeks) are a classic early sign of measles, which is highly contagious. Prompt notification is needed to prevent an outbreak.
C. Inform all students, staff, and faculty of a possible rubella epidemic: While rubella also causes a rash, it does not present with Koplik spots.
D. Tell the student to take two acetaminophen and drink lots of fluids: Symptomatic relief is important but does not address the risk of measles transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dengue: Dengue is transmitted by Aedes mosquitoes and is found in tropical regions, but it is less commonly imported to the U.S. than malaria.
B. Malaria: Malaria is the most frequently imported vector-borne disease in the U.S. due to international travelers coming from endemic areas (Africa, South Asia, South America). It is transmitted by Anopheles mosquitoes.
C. Onchocerciasis (river blindness): This disease is primarily found in Africa and is not commonly imported to the U.S. by travelers.
D. Yellow fever: While yellow fever exists in endemic areas, travelers are often vaccinated before visiting these regions, reducing its importation risk.
Correct Answer is A
Explanation
A. Legislative branch of government: The legislative branch (e.g., Congress, Senate) is responsible for making laws and passing bills. Lobbying for healthcare funding directly involves the legislative process.
B. Constitutional branch of government: There is no specific constitutional branch of government. The U.S. government consists of the legislative, executive, and judicial branches.
C. Executive branch of government: The executive branch (e.g., the President, state governors) enforces laws but does not make them. The nurse is lobbying lawmakers, not the President.
D. Judicial branch of government: The judicial branch (courts, judges) interprets laws and ensures their constitutionality. It does not pass legislation.
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