The school nurse notifies the community nurse that there have been five confirmed cases of pertussis in the sixth-grade classes. In addition to responding to the cluster of cases, the community nurse should immediately:
A) Recommend that the school be closed
B) Research the vaccine compliance in the school
C) Recommend that notes be sent home to the parents regarding a pertussis epidemic
D) Consult with the infection control physician at the local hospital
Ans: B
Feedback:
Existing (secondary) data can often be used to identify the community's strengths and weaknesses, to determine assets and liabilities, and to describe, along with available community resources, the amount of disease/disability or health in a population. The data that identify the "who, what, where, and when" related to disease, disability, and exemplars of health must then be systematically organized and analyzed. In this case, the nurse should gather further data regarding the vaccination history of students in the school before initiating an intervention. If the pertussis is only affecting children who have not been vaccinated and 98% of the children in the school are vaccinated, then the nurse may focus efforts on getting those few children vaccinated who are not already. If, however, the disease is affecting children already vaccinated or if a significant number of children are not vaccinated, then the nurse might consider recommending that the school be closed, recommending that notes be sent home to the parents regarding an epidemic, or consulting with the infection control physician at the local hospital.
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