Nokea
several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?
- A. organize an influenza immunization clinic with the American red cross
- B. perform wound care in the home of members
- C. provide end of life care for members who are terminal
- D. facilitate discharge from the facility to the home
Correct Answer: D
Rationale: The correct answer is D: facilitate discharge from the facility to the home. This service is essential for ensuring a smooth transition for patients returning home from a healthcare facility. Nurses can coordinate care, medication management, and follow-up appointments to prevent readmissions. Choice A is incorrect as the organization of an influenza immunization clinic is not directly related to facilitating patient discharge. Choice B is incorrect as performing wound care at home may not be within the scope of parish nursing and could risk infection control. Choice C is incorrect as providing end-of-life care is crucial but may not be the primary focus of a parish nurse group.
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a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
- A. the test monitors progression of the disease
- B. the test measures antibodies to the virus
- C. the test results are accurate 24 hr. after exposure to the virus
- D. a positive result requires initiating immunoglobulin administration
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme linked immunosorbent assay (ELISA) testing for HIV, antibodies produced by the body in response to the virus are detected. This helps in diagnosing HIV infection. Monitoring disease progression (choice A) requires other tests like viral load testing. Test results are not accurate within 24 hours of exposure (choice C) as it takes time for antibodies to develop. Initiating immunoglobulin administration (choice D) is not necessary for all positive results and depends on the individual's condition.
a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
- A. Track rates of illness caused by infection among employees.
- B. Survey workers about job-related emotional stress.
- C. Identify industrial toxins that are present in the environment.
- D. Measure noise levels at various locations in the facility.
Correct Answer: D
Rationale: The correct answer is D: Measure noise levels at various locations in the facility. This action helps the nurse detect potential physical hazards because high noise levels can lead to hearing loss, stress, and other health issues. By measuring noise levels, the nurse can assess if the workplace is within safe limits set by regulations.
A, B, and C are incorrect because tracking rates of illness caused by infection, surveying workers about emotional stress, and identifying industrial toxins relate to different types of hazards (biological, psychological, and chemical) rather than physical hazards.
By focusing on noise levels, the nurse can effectively address physical hazards, ensuring a safer work environment for employees.
a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards?
- A. track rates of illness caused by infection among employees
- B. survey workers about job related emotional stress
- C. identify industrial toxins that are present in the environment
- D. measure noise levels at various locations in the facility
Correct Answer: A
Rationale: The correct answer is A because tracking rates of illness caused by infection among employees can help identify potential physical hazards such as poor hygiene practices or exposure to harmful substances. This data can lead to interventions to prevent future illnesses. Surveying workers about emotional stress (B) is related to mental health, not physical hazards. Identifying industrial toxins (C) is important but focuses on chemical hazards, not exclusively physical. Measuring noise levels (D) is crucial for assessing hearing-related hazards but is not the only physical hazard to consider.
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
- A. use seasonings to enhance the flavor of foods
- B. provide sips of room temperature ginger ale between meals
- C. maintain the head of theclients bed in an elevated position after eating
- D. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
- E. assist the client in using guided imagery
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk can help soothe the stomach and provide some relief from nausea. It is important to offer a small amount like 120 ml to prevent overwhelming the digestive system.
A: Using seasonings may worsen nausea due to strong flavors.
B: Ginger ale can contain carbonation which may exacerbate nausea.
C: Elevating the head of the bed is more beneficial for GERD, not chemotherapy-induced nausea.
E: Guided imagery may be helpful for relaxation but may not directly address the nausea.
In summary, offering a small amount of cold milk is the most appropriate intervention as it can help provide relief without exacerbating the nausea.