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a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
- A. have the client’s daughter communicate information about the procedure
- B. arrange for a member of the client’s community to interpret the teaching
- C. identify the clients spoken dialect prior to contacting an interpreter
- D. use professional terminology when providing education prior to the procedure
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization. Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology. Choice C may delay the communication process unnecessarily. Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.
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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 discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
- A. You will be taking a once-weekly dose of disulfiram to help control withdrawal symptoms during treatment.
- B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
- C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
- D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
Correct Answer: D
Rationale: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
- A. discuss the benefits of eating a well-balanced diet with the client’s family
- B. assist the client and the clients partner with finding an affordable exercise program
- C. offer to accompany the client and the clients partner during health care provider visits
- D. ask family members about the impact of the disease on relationships within the family
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because regular exercise is essential for managing heart disease. By helping the client and partner to find an affordable exercise program, the nurse is promoting a crucial aspect of heart disease management. This action directly addresses a key component of the treatment plan and supports the client's overall well-being.
Other choices are incorrect because they do not address the immediate need for implementing a lifestyle change to manage heart disease. Choice A focuses on diet, which is important but exercise is the priority. Choice C involves healthcare provider visits, which may be important but not the first step. Choice D addresses relationships, which is relevant but not the immediate priority.
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 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.