An infectious disease nurse is reviewing electronic medical records on a group of clients.

Exhibits

Select the 4 clients whose diagnosis should be reported to the health department.

Client 1

Client 2

Client 3

Client 4

Client 5

Client 6

Answer and Explanation

Correct Answer : A,B,D,F

A. Client 1 - Lyme disease is a reportable infectious disease in many jurisdictions due to its potential public health implications. Given that it is transmitted by tick bites, it is crucial to notify the health department to help track the incidence and potential outbreaks in the area.

B. Client 2 - Acute hepatitis C is also a reportable disease, especially given the client's history of IV substance use. Reporting aids in monitoring and controlling the spread of the disease, as it can be transmitted through blood and sharing of needles.

C. Client 3 - Clostridium difficile infections are typically not reported to the health department, as they are often linked to healthcare settings and do not pose a public health threat in the same way as other infectious diseases.

D. Client 4 - Salmonellosis is a reportable illness as it can be associated with outbreaks linked to foodborne transmission. Reporting is essential for investigating sources of infection and preventing further cases.

E. Client 5 - While Streptococcal pharyngitis is common and can cause outbreaks, it is generally not classified as a reportable disease to public health departments. Instead, treatment and monitoring are usually managed within healthcare settings.

F. Client 6 - Pertussis (whooping cough) is highly contagious and considered a reportable disease due to its potential to cause outbreaks, especially among vulnerable populations. Reporting allows for monitoring and preventive measures to be implemented in the community.

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Correct Answer is A

Explanation

A. Measuring the client's vital signs is the first step to assess the client's current physical status and determine if any physiological issues are contributing to confusion and agitation.

B. Offering reassurance to the family is supportive but does not address the immediate needs of the confused and agitated client.

C. Reorienting the client is helpful but should occur after ensuring that there are no underlying medical issues indicated by vital sign changes.

D. Medicating the client with alprazolam may be necessary if agitation is severe, but it should not be the first action taken before assessing the client's vital signs.

A. Reposition the client frequently. B. Instruct the client to use the incentive spirometer. C. Ensure the client consumes an adequate amount of fluids. D. Increase the amount of time the client spends out of bed each day.

Correct Answer is B

Explanation

A. While repositioning is important to prevent pressure ulcers and promote circulation, it is not the priority intervention in this context.

B. Using an incentive spirometer is crucial for preventing atelectasis and promoting lung expansion following surgery, making it a priority intervention.

C. Ensuring adequate fluid intake is important for hydration and recovery but does not take precedence over respiratory care in the postoperative setting.

D. Increasing the amount of time spent out of bed is beneficial for recovery but should follow ensuring proper respiratory function and lung expansion, which is addressed by the use of the incentive spirometer.

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An infectious disease nurse is reviewing electronic medical records on a group of clients. Exhibits Select the 4 clients whose diagnosis should be reported to the health department.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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An infectious disease nurse is reviewing electronic medical records on a group of clients.

Exhibits

Select the 4 clients whose diagnosis should be reported to the health department.