Nokea
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
- A. the client dresses her affected side first.
- B. the client bears weight on their arms when using crutches
- C. the client coughs when swallowing her medications
- D. the client’s caregiver fills a pill organizer weekly
Correct Answer: D
Rationale: The correct answer is D because it indicates the caregiver's involvement in medication management, which is crucial for a client post-stroke. The nurse should report this to ensure medication adherence and safety. Choice A is not concerning as it shows the client's independence in dressing. Choice B could be a normal weight-bearing technique with crutches. Choice C may indicate dysphagia, which is important but not as immediate as medication management.
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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.
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.
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.
a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
- A. chlamydia
- B. herpes simplex virus
- C. group B Streptococcus B hemolytic
- D. human papillornavirus
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. The nurse should report herpes simplex virus to the state health department because it is a notifiable infectious disease that requires monitoring for public health purposes. Herpes simplex virus can be transmitted through various means, including sexual contact, and can cause recurrent outbreaks and complications. Reporting to the state health department allows for tracking of the infection, implementing control measures, and preventing further spread. Other choices (A, C, D) are also important infections but may not require immediate reporting to the state health department as they are not typically considered notifiable diseases.
a nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first?
- A. give positive feedback to students who makeappropriate choices.
- B. help students recognize the value of making healthy food choices 3. provide students with resources about making wise choices independently 4. determine student’s motivation to learn about healthy food choices.
- C. a nurse manger in local community health agency is creating a job description for a new nurse who will practice community oriented nursing. which of the following should the nurse include in the job description? (select all that apply)
- D. investigate potential health and environmental issues
- E. initiate support groups for parents of autistic children
Correct Answer: B
Rationale: The correct answer is B: help students recognize the value of making healthy food choices. This is the first step the nurse should take because it focuses on educating and empowering the students to understand the importance of healthy eating. By helping students recognize the value of making healthy food choices, the nurse can lay the foundation for long-term behavior change. Providing positive feedback (choice A) can come later once students have started making better choices. Providing resources (choice C) and determining motivation (choice D) are important but secondary steps after helping students understand the value of healthy eating. Choices E and F are irrelevant and not related to the scenario.