Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation?

National Institutes of Health

Environmental Protection Agency

Centers for Disease Control and Prevention

Department of Health and Human Services

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is not the best answer, as the National Institutes of Health (NIH) is not the primary agency responsible for regulating or enforcing environmental standards. The NIH is a research agency that supports biomedical and public health research.

Choice B reason: This statement is the best answer, as the Environmental Protection Agency (EPA) is the federal agency that protects human health and the environment by setting and enforcing standards for air, water, and land quality. The EPA regulates the use, disposal, and cleanup of asbestos, a known carcinogen and health hazard.

Choice C reason: This statement is not the best answer, as the Centers for Disease Control and Prevention (CDC) is not the primary agency responsible for regulating or enforcing environmental standards. The CDC is a public health agency that monitors and responds to disease outbreaks, conducts research, and provides health information.

Choice D reason: This statement is not the best answer, as the Department of Health and Human Services (HHS) is not the primary agency responsible for regulating or enforcing environmental standards. The HHS is a cabinet-level department that oversees various health and human services programs and agencies, such as the NIH, the CDC, and the Food and Drug Administration.

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Correct Answer is C

Explanation

Choice A reason: This is incorrect. Clostridium difficile is a bacterium that causes an infection of the colon, which can result in diarrhea, abdominal pain, and fever¹. Clostridium difficile is transmitted by contact with fecal matter or contaminated surfaces². Therefore, it requires contact precautions, not airborne precautions³.

Choice B reason: This is incorrect. Influenza is a viral infection that affects the respiratory tract, causing symptoms such as fever, cough, sore throat, and muscle aches⁴. Influenza is transmitted by respiratory droplets that are generated by coughing, sneezing, or talking⁵. Therefore, it requires droplet precautions, not airborne precautions³.

Choice C reason: This is correct. Disseminated herpes zoster is a widespread form of shingles that affects multiple areas of the skin and can involve the internal organs⁶. Shingles is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox⁷. Disseminated herpes zoster is transmitted by airborne particles that contain the virus, or by direct contact with the lesions⁶. Therefore, it requires airborne precautions, as well as contact precautions³.

Choice D reason: This is incorrect. Respiratory syncytial virus (RSV) is a common respiratory virus that causes mild to severe infections of the lungs and airways, especially in infants and young children⁸. RSV is transmitted by respiratory droplets, or by contact with contaminated surfaces or secretions⁹. Therefore, it requires contact precautions, and sometimes droplet precautions, but not airborne precautions³.

A. The client nods their head and smiles during the teaching. B. The client demonstrates what they learned during the teaching. C. The client wears their glasses and hearing aids during the teaching. D. The client makes frequent eye contact during the teaching.

Correct Answer is B

Explanation

Choice A reason: Nodding and smiling are positive reactions, but they do not necessarily indicate understanding, as they can be polite responses or reflexive actions.

Choice B reason: Demonstration of learned content is a clear indication of understanding. When a client can replicate the teaching, it shows they have comprehended the information and are able to apply it.

Choice C reason: While wearing glasses and hearing aids can help a client see and hear the teaching better, it does not confirm that the client has understood the material presented.

Choice D reason: Frequent eye contact might suggest attentiveness, but like nodding and smiling, it is not a reliable indicator of comprehension.

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Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions?

Correct Answer is C

Explanation

A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?

Correct Answer is B

Explanation

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A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?

A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?

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A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?

A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following actions should the nurse take first?