Nokea
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.
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nurse expect
- A. oliguria
- B. diplopia
- C. hypoglycemia
- D. dizziness
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in a patient as it can indicate a serious neurological issue or cranial nerve dysfunction. Oliguria (A) refers to decreased urine output, not typically associated with nursing expectations. Hypoglycemia (C) is a metabolic condition, not typically anticipated by nurses. Dizziness (D) can have various causes and is not specific enough to be expected by a nurse.
a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
- A. demographic data
- B. mortality rate
- C. informant interviews
- D. housing quality
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, the nurse observes the community from a car to gather data. Demographic data, such as age, gender, ethnicity, and socioeconomic status, provides a foundational understanding of the community's composition and needs. Mortality rate (B) and housing quality (D) are important but are not typically assessed through a windshield survey. Informant interviews (C) involve direct communication and are not part of a windshield survey method.
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.
a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity?
- A. early detection of disease
- B. client enrollment in prevention programs
- C. promotion of appropriate lifestyle changes
- D. identification of family history of medical problems
Correct Answer: A
Rationale: The correct answer is A: early detection of disease. Screening for lipid disorders aims to identify individuals at risk of developing cardiovascular diseases early on. Early detection allows for timely interventions to prevent or manage lipid disorders effectively. Choice B focuses on intervention programs, which come after detection. Choice C emphasizes lifestyle changes, which are secondary to detection. Choice D is about family history, not the primary goal of screening.