Nokea
a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
- A. one dose of the immunization gives children lifelong protection from hepatitis B
- B. hepatitis B spreads easily among children through casual contact
- C. many people who acquire acute hepatitis B develop chronic hepatitis
- D. people who have had a hepatitis B infection still need the immunization
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B spreads easily among children through casual contact. This is the most appropriate explanation to give the parent because hepatitis B is primarily transmitted through contact with infected blood or body fluids, making children especially vulnerable due to their frequent interactions. Choice A is incorrect as multiple doses are needed for full protection. Choice C is incorrect as not everyone with acute hepatitis B develops chronic hepatitis. Choice D is incorrect because previous infection does not guarantee lifelong immunity.
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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 school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority?
- A. a child who has a BMI of 18
- B. an adolescent who has scoliosis
- C. an adolescent who has psoriasis
- D. a child who has nits
Correct Answer: B
Rationale: The correct answer is B: an adolescent who has scoliosis. Scoliosis is a condition where the spine curves abnormally, potentially leading to serious health issues if not addressed early. The nurse must prioritize assessing scoliosis as it can affect the individual's posture, mobility, and even breathing. BMI of 18 (choice A) may indicate underweight but doesn't pose an immediate health threat. Psoriasis (choice C) is a skin condition that, while uncomfortable, is not life-threatening. Nits (choice D) are treatable and not urgent.
The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
- A. Arrange for Meals on Wheels assistance.
- B. Determine the client’s ability to self-feed.
- C. Direct the home health aide to assist with meals.
- D. Refer the client’s partner to an Alzheimer’s support group.
Correct Answer: B
Rationale: The correct answer is B: Determine the client's ability to self-feed. The priority action is to assess the client's capacity to feed themselves independently. This is crucial in identifying any issues or barriers the client may be facing in terms of feeding. By determining the client's ability to self-feed, the nurse can develop an appropriate plan of care tailored to the client's specific needs.
Choices A, C, and D are incorrect because they do not address the immediate concern of evaluating the client's ability to feed themselves. While arranging for Meals on Wheels or directing the home health aide to assist with meals may be helpful interventions, they do not address the root cause of the issue. Referring the client's partner to an Alzheimer's support group may be beneficial in the long term but does not address the immediate need to assess the client's ability to self-feed.
a nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. which of the following information should the nurse include?
- A. middle eastern cultural practices include hiding pain from close family members
- B. native American cultural practices include being outspoken about pain
- C. PuertoRican cultural practices include the view that outspoken expressions of pain are shameful
- D. Chinese cultural practices include enduring pain to prevent family dishonor
Correct Answer: C
Rationale: The correct answer is C, as Puerto Rican cultural practices often view outspoken expressions of pain as shameful. This information is important for the nurse to include in the educational guide because understanding cultural variances in expressing pain is crucial for providing culturally sensitive care. Choice A is incorrect because Middle Eastern cultures may not necessarily hide pain from close family members. Choice B is incorrect as it generalizes Native American cultural practices about being outspoken about pain. Choice D is incorrect as it oversimplifies Chinese cultural practices regarding pain.
nurse expect
- A. oliguria
- B. diplopia
- C. hypoglycemia
- D. dizziness
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in a patient as it can indicate a serious neurological issue or cranial nerve dysfunction. Oliguria (A) refers to decreased urine output, not typically associated with nursing expectations. Hypoglycemia (C) is a metabolic condition, not typically anticipated by nurses. Dizziness (D) can have various causes and is not specific enough to be expected by a nurse.