Nokea
A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?
- A. Explain to the client results should be read between 48 and 72 hours.
- B. Identify how the client will follow up to have the results read.
- C. Determine if the client understands the purpose of the tuberculin test.
- D. Give the client written Information about the tuberculosis test.
Correct Answer: B
Rationale: Ensuring follow-up for TB test reading is critical, especially for a homeless client, to confirm diagnosis and prevent missed results.
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The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?
- A. Review current epidemiological population data that might document a low immunization rate.
- B. Call a meeting of citizens to inform them of the importance of having their children immunized.
- C. Join a political action group that focuses attention on the issue in the local news media.
- D. Partner with a local children's hospital in setting up free 'shot' clinics in the neighborhood.
Correct Answer: A
Rationale: Reviewing epidemiological data confirms the extent of low immunization rates, providing a foundation for targeted interventions.
The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?
- A. Accessibility to trauma care.
- B. Annual health fair.
- C. Family planning center.
- D. Weather-related disaster plan.
Correct Answer: A
Rationale: In rural areas, accessibility to trauma care is critical due to geographic isolation, ensuring timely management of emergencies and improving survival rates.
The elementary school nurse has identified a problem requiring a secondary intervention. Which intervention should the nurse implement?
- A. Instruct on technique of 'stop, drop & roll' at assembly.
- B. Involve the parent teacher association (PTA) in a fund raising event for the new gym.
- C. Invite 1st grade parents to a 'Meet the Teachers' event.
- D. Send letters to parents regarding a recent lice infestation.
Correct Answer: D
Rationale: Sending letters about a lice infestation is a secondary prevention intervention, addressing an identified problem to control its spread.
A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?
- A. Small bruises on the lower extremities.
- B. A one-inch laceration across center of forehead.
- C. Refusal to answer simple questions.
- D. Several dime-sized circular burns on the back.
Correct Answer: D
Rationale: Circular burns are suggestive of abuse, requiring immediate intervention to ensure the child's safety and further investigation.
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.