The public health nurse is investigating a botulism outbreak. The public health nurse understands that which of the following is the greatest risk factor for development of the disease?
A recent potluck that had a petting zoo
A recent potluck that served spinach
A recent potluck that served baked beans out of a bent can
A recent potluck that served pork products
The Correct Answer is C
A. A recent potluck that had a petting zoo: While petting zoos can be sources of zoonotic infections like E. coli or Salmonella, they are not associated with botulism, which comes from improperly processed foods.
B. A recent potluck that served spinach: Spinach can harbor bacterial infections like E. coli or Listeria, but it is not a common source of botulism unless improperly canned.
C. A recent potluck that served baked beans out of a bent can: Botulism is caused by Clostridium botulinum, a bacterium that produces neurotoxins in improperly canned, preserved, or stored foods. A bent or bulging can suggests contamination and potential toxin production, making it the most likely cause of botulism in this scenario.
D. A recent potluck that served pork products: Pork can transmit trichinosis (from undercooked meat) or bacterial infections (Salmonella, Listeria), but botulism is primarily linked to canned foods, not pork products.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Political action is the way you try to fulfill your ethical responsibilities to clients." Nurses advocate for patients, and political involvement helps influence healthcare policies, funding, and patient rights. Participating in policy changes aligns with the nursing code of ethics.
B. "As long as you pay your membership fee to the American Nurses Association, you have participated in the profession's political endeavors." Paying fees does not equate to active political involvement or advocacy.
C. "You're absolutely right; if you are good clinically, you have fulfilled your obligation." While clinical skills are vital, nursing also includes advocacy for systemic healthcare improvements.
D. "When you've completed your clinical orientation, then you'll have time to be involved in politics." Political involvement is ongoing and should not be delayed indefinitely.
Correct Answer is D
Explanation
A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.
B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.
C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.
D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.
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