Practice Question
A nurse manager in a public health clinic is reviewing the charts of five recent clients.
Answer Choices:
Correct Answer:
Client 2
Rationale:
Client 2 — Elevated Lead Level (12 mcg/dL)
💎Lead poisoning is a nationally notifiable condition because it poses serious public health risks and may indicate environmental exposure affecting other children or communities.
💎Blood lead levels above 3.5 mcg/dL are considered elevated, triggering mandatory reporting to local or state health departments.
💎Reporting allows for environmental investigations (e.g., home inspections for lead paint or contaminated water).
💎Early identification and intervention can prevent neurodevelopmental damage in children.
💎The public health department typically follows up with education, remediation, and repeat testing.
Client 4 — Tuberculosis (Active TB Suspicion)
💎The client’s positive Mantoux test, respiratory symptoms, and hemoptysis indicate active pulmonary tuberculosis, which is a reportable communicable disease.
💎TB is reported because it is highly contagious through airborne droplets and poses significant community health risks.
💎Early reporting ensures initiation of airborne isolation, sputum testing, and contact tracing.
💎Notification allows public health officials to monitor, control, and prevent further transmission.
💎Prompt reporting also facilitates treatment adherence through directly observed therapy (DOT) programs.
Client 5 — Chlamydia Infection
💎Chlamydia trachomatis infection is a sexually transmitted infection (STI) that is mandated for national notification.
💎Reporting supports contact tracing and treatment of sexual partners to prevent reinfection and spread.
💎Untreated chlamydia can lead to pelvic inflammatory disease, infertility, or neonatal conjunctivitis.
💎Public health departments use reported data to monitor infection trends and guide prevention efforts.
💎Notification helps ensure community-wide sexual health education and screening initiatives.
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This question is from RN Community Health 2023 Sept which contains 82 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Community Health
- Answer Choices: 5