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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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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.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. Which action should the nurse implement to evaluate the effectiveness of the program?
- A. Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program.
- B. Measure the prevalence of pediculosis capitis among the children after four months.
- C. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
- D. Conduct an initial examination of each child in the school to obtain baseline data.
Correct Answer: B
Rationale: Measuring prevalence after the program compares pre- and post-intervention rates, directly assessing the program's success in reducing pediculosis cases.
The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
- A. The Senior Citizen Center.
- B. The Social Security Administration office.
- C. The Adult Day Care Center.
- D. The Women, Infant, and Children office.
Correct Answer: A
Rationale: The Senior Citizen Center offers social activities and meal programs that can address potential causes of weight loss, such as isolation or inadequate nutrition, suitable for an independent older adult.
The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?
- A. Suicide discussion is dangerous with people with depression.
- B. The majority of suicides occur in lower socioeconomic groups.
- C. Social support systems ensure suicide prevention.
- D. Severe life stresses at any age is a risk factor for suicide.
Correct Answer: D
Rationale: Severe life stresses are a well-established risk factor for suicide across all ages, critical for awareness and prevention efforts.
A migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. The client reports Increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. Which nursing action has the highest priority?
- A. Gather information about the client's recent exposure to pesticides.
- B. Obtain a blood sample to assess for possible lead paint exposure.
- C. Ask about the length of his workday and frequency of rest breaks.
- D. Determine the number and age of persons living in the mobile home.
Correct Answer: A
Rationale: Symptoms like dizziness and breathing difficulty suggest pesticide poisoning, a common risk for farm workers, requiring immediate investigation to guide treatment.