Nokea
A client who recently returned from international travel presents to the clinic with high fever, chills, headache, and muscular aches. The healthcare provider suspects severe acute respiratory syndrome (SARS). To prevent transmission of the virus to others, which instruction is most important for the nurse to provide?
- A. Wear a N95 respirator mask during direct contact with others.
- B. Cover mouth and turn head when coughing
- C. Use meticulous hand washing technique.
- D. Discard all tissues used during coughing in a biohazard bag.
Correct Answer: A
Rationale: An N95 respirator mask is critical for preventing airborne transmission of SARS, offering superior protection compared to other measures like hand washing or tissue disposal.
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A school nurse is developing a health risk screening protocol for use at an elementary school. Which information is most important for the nurse to include in this protocol?
- A. Long bone density testing.
- B. Annual flu vaccination status.
- C. Weight and height measurement.
- D. Serum total cholesterol level.
Correct Answer: C
Rationale: Weight and height measurements are essential for assessing growth, detecting malnutrition or obesity, and monitoring overall health in elementary students.
A middle-aged client presents for an annual health visit at a community clinic. The client is 5 feet 10 inches (177.8 cm) tall, weighs 250 pounds (113.4 kg), and works as an accountant. The client has smoked at least one pack of cigarettes every day for the last 15 years. Which secondary prevention measure should the nurse recommend the client to follow?
- A. Smoking cessation.
- B. Compliance with antihypertensive and lipid lowering agents.
- C. Blood pressure and lipid screening.
- D. Increase physical activity and diet low in saturated fat.
Correct Answer: C
Rationale: Blood pressure and lipid screening are secondary prevention measures to detect cardiovascular issues early, critical for a smoker with obesity and high cardiovascular risk.
One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?
- A. Immunize all children under age 5 in the one hundred family aggregate.
- B. Immunize all members of the one hundred families.
- C. Quarantine the one hundred family aggregate.
- D. Quarantine all family members of the child with whooping cough.
Correct Answer: D
Rationale: Quarantining the affected child's family members prevents whooping cough spread, targeting those most likely exposed.
The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?
- A. Emphasize that using safe sex practices removes the risk of sexually transmitted Infections (STIs)
- B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse.
- C. Discuss that partners without similar symptoms may not be infected.
- D. Instruct the client on the importance of notifying sexual partners.
Correct Answer: D
Rationale: Notifying sexual partners is critical to prevent further spread of gonorrhea, ensuring they are tested and treated, as asymptomatic individuals can still transmit the infection.
To promote heart healthy eating during a school health fair, the nurse presents information about a 'Mediterranean-based' approach to eating. To assess learning, the nurse sponsors a contest and asks the children to create a rhyme that shows foods that should be limited. Which selection should the nurse choose as the winner of the contest?
- A. Greens and beans.
- B. Meats and sweets.
- C. Fish on a dish.
- D. Berries or cherries.
Correct Answer: B
Rationale: The Mediterranean diet limits red meats and sweets, making 'meats and sweets' the correct choice for foods to restrict for heart health.