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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.
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A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?
- A. Fasting blood glucose average readings were 20% lower at the end of the classes.
- B. Discussion of food exchanges and calories was a well-attended class.
- C. Demonstrating the use of a blood glucose meter was an effective teaching strategy.
- D. Parking convenience for attendees continued to be a major concern.
Correct Answer: A
Rationale: Lower fasting blood glucose readings directly indicate improved diabetes management, reflecting the classes' effectiveness.
A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?
- A. Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit.
- B. Schedule blood pressure screenings during craft club hours for elderly women at the senior center.
- C. Lobby the local school board to increase physical education classes at all schools in the district.
- D. Collaborate with a local scout troop to determine families that need wheelchair ramps installed.
Correct Answer: C
Rationale: Increasing physical education promotes weight-bearing exercises, essential for building bone density and preventing osteoporosis, especially in youth.
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.
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.
A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?
- A. Census data.
- B. Bureau of Vital Statistics.
- C. Disease registry.
- D. Department of Health.
Correct Answer: B
Rationale: The Bureau of Vital Statistics provides detailed data on vital events like deaths, making it the best resource for accurate infant mortality rates for city and state comparisons.