Today’s NCLEX-RN® question of the day focuses on Aspergillosis. Can you answer the question correctly?

A nurse is caring for four adult patients in an infectious disease unit. Which occupation puts patients at the highest risk for contracting aspergillosis?  

A. Chef

B. Farmer

C. Physician

D. Sewist

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The correct answer to today’s NCLEX-RN® Question is…

B. Farmer

Rationale: Aspergillosis is caused by exposure to the Aspergillus fungus found in damp areas, old buildings, moist soil, and damp woods and leaves. Because of a farmer’s frequent exposure to soil, they are at the highest risk for aspergillosis.

Main Takeaway

Aspergillosis is an infection caused by a fungus called Aspergillus, most commonly Aspergillus fumigatus, that typically affects the respiratory system. There are three types of aspergillosis; chronic, the most common; allergic; and invasive, the most severe. The cause of aspergillosis is exposure to the Aspergillus fungus. This fungus is ubiquitous and loves damp areas, older buildings, moist soil, and damp woods and leaves, so working in construction or farm jobs in these areas puts a client at a higher risk of developing an Aspergillus infection. Additionally, risk factors for severe aspergillosis include being immunocompromised because of AIDS or neutropenia, long-term steroid use, or anti-rejection medications after a transplant. Also, chronic lung disease like asthma and cystic fibrosis put clients at increased risk.

Incorrect Answer Explanations

A. Chef

Rationale: Aspergillosis is caused by exposure to the Aspergillus fungus found in damp areas, old buildings, moist soil, and damp woods and leaves. Although a chef who may work with raw meat and produce is at risk for certain infectious diseases, they are not at the highest risk for aspergillosis.

C. Physician

Rationale: Aspergillosis is caused by exposure to the Aspergillus fungus found in damp areas, old buildings, moist soil, and damp woods and leaves. Although physicians may be at risk for communicable diseases from working with clients with infectious diseases, they are not at the highest risk for aspergillosis.

D. Sewist

Rationale: Aspergillosis is caused by exposure to the Aspergillus fungus, found in damp areas, old buildings, moist soil, and damp woods and leaves. Sewists handle fabrics and are not at high risk for aspergillosis.

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