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A foodborne outbreak of salmonellosis has twice occurred at a day-treatment program. The environmental health worker has requested that an advanced public health nurse be included in the next inspection of the program's kitchen. During the visit, what is the nurse's primary function?

Identify other resources for providing food service.

Promote the health of clients affected by the previous outbreaks.

Educate the kitchen workers about safe food preparation.

Ensure the workers' understanding of various microorganisms.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Identify other resources for providing food service is not the nurse’s primary function during the inspection.

B. Promote the health of clients affected by the previous outbreaks is important but not the primary function during the kitchen inspection.

C. Educate the kitchen workers about safe food preparation is a key function to prevent future outbreaks by ensuring proper food handling practices are followed.

D. Ensure the workers' understanding of various microorganisms is important but less immediate than ensuring safe food preparation practices.

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A. Provide the elderly grandmother with a personal emergency response system for immediate assistance. B. Install grab bars in the bathroom and handrails along all stairways. C. Remove clutter from walkways and secure loose rugs to prevent tripping hazards. D. Suggest that the family modify the grandmother's exercise routine to include balance and strength training.

Correct Answer is C

Explanation

Rationale:

A. Providing a personal emergency response system is important but does not address the immediate physical hazards in the home that are likely to cause falls.

B. Installing grab bars and handrails is a good safety measure, but addressing immediate tripping hazards should take precedence to prevent falls.

C. Removing clutter and securing loose rugs is a direct intervention that addresses the immediate risk factors for falls in the home environment. This should be the first step in improving safety.

D. Modifying the exercise routine can be beneficial for long-term fall prevention but does not address the immediate physical hazards present in the home.

A. Submit a formal complaint to OSHA about the facility's lack of PPE usage. B. Report the non-compliance to the facility's infection control department for further investigation and follow-up. C. Remind colleagues to wear PPE when handling potentially infectious materials and document the incident in the staff meeting notes. D. Conduct a quick in-service training on PPE for the colleagues who are not using it.

Correct Answer is B

Explanation

Rationale:

A. Submitting a formal complaint to OSHA may be a necessary step if internal resolution fails, but it is not the immediate action to address the issue.

B. Reporting non-compliance to the infection control department is the most appropriate action. This department is responsible for ensuring adherence to safety protocols and can address the issue promptly.

C. While reminding colleagues and documenting the incident are important, reporting to the infection control department ensures a formal review and follow-up on the issue.

D. Conducting in-service training is useful for education but may not immediately address non-compliance or ensure adherence to OSHA regulations.

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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