Nokea
a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
- A. bradycardia
- B. hypothermia
- C. increased appetite
- D. insomnia
Correct Answer: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal can lead to a decrease in the body's ability to regulate temperature, resulting in hypothermia. This is due to alcohol's impact on the central nervous system's ability to regulate body temperature. Bradycardia (A) is not typically associated with alcohol withdrawal; increased appetite (C) is more commonly seen during the acute intoxication phase; insomnia (D) is a symptom of alcohol withdrawal, but it is not a manifestation related to temperature regulation.
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A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
- A. Encourage enrollment and attendance at weight reduction programs.
- B. Educate children at a daycare center about nutrition and exercise.
- C. Distribute health risk appraisal questionnaires at community functions.
- D. Measure the BMI of older adults at a community senior center.
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This is prioritized because it helps identify health risks at a population level, enabling targeted interventions. Choice A focuses on individual weight reduction, not community health. Choice B targets a specific group, neglecting the broader community. Choice D only addresses one aspect of health in a specific population.
a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
- A. provide the client with a printed recipe
- B. observe the client during preparation of traditional foods
- C. use cookbooks to include traditional foods in meal plans
- D. explain diabetes exchange list
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse should first explain the diabetes exchange list to the client as it educates on portion sizes and food groups suitable for managing diabetes. This empowers the client to make informed choices. Providing a printed recipe (A) assumes the client understands portion control. Observing the client during food preparation (B) doesn't address education on appropriate food choices. Using cookbooks (C) may not align with the client's cultural preferences or dietary needs. The other choices are incomplete without addressing the foundational education needed for diabetes management.
In the last month three cases of tuberculosis have been referred to the health department. Which of the following is the priority information for the community health nurse to obtain from each client?
- A. Demographics.
- B. Household members.
- C. Occupation.
- D. Health history.
Correct Answer: B
Rationale: The correct answer is B: Household members. This is the priority information because tuberculosis is highly contagious and spreads through close contact. By obtaining information on household members, the nurse can assess the risk of transmission within the household and take appropriate measures to prevent further spread of the disease. Demographics (A) may provide general information but do not directly impact the spread of tuberculosis. Occupation (C) may be relevant for identifying potential exposure sources but household contacts are more immediate. Health history (D) is important but does not address the immediate risk of transmission within the household.
in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?
- A. demographics
- B. house hold members
- C. occupation
- D. health history
Correct Answer: D
Rationale: The correct answer is D: health history. Obtaining the health history is crucial to assess the severity of tuberculosis, previous treatments, and potential risk factors. This information helps in determining the appropriate treatment plan and preventing the spread of the disease. Demographics (A) may provide general information but do not directly impact the management of tuberculosis. Household members (B) are important for contact tracing but not the priority. Occupation (C) is relevant for identifying potential exposure, but health history takes precedence.
a community health nurse is planning a program for adolescents about preventing
- A. STIs. which of the following actions should the nurse take first?
- B. collect data to identify barriers to learning
- C. establish methods to evaluate program outcomes
- D. obtain visual aids that feature adolescents
- E. provide computer based education
Correct Answer: C
Rationale: The correct answer is C: establish methods to evaluate program outcomes. This is the first step because without knowing how to measure the success of the program, the nurse won't be able to determine its effectiveness in preventing STIs. By establishing evaluation methods, the nurse can track progress, identify areas for improvement, and ensure the program is meeting its goals. Collecting data (B) and obtaining visual aids (D) are important steps, but evaluating outcomes should come first. Providing computer-based education (E) may be a useful method, but it's not the initial priority.