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A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will complete my arm exercises four times a day
- B. Using data from the main health care institutions in the community to determine needed health services
- C. Ensure timely and effective medical intervention and treatment for community members
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A: "I will complete my arm exercises four times a day." This indicates an understanding of the teaching because after a modified radical mastectomy, it's important to perform arm exercises to prevent lymphedema and improve range of motion. Completing exercises four times a day shows commitment to the prescribed regimen.
Choices B, C, and D are incorrect as they do not pertain to the client's post-operative care after a modified radical mastectomy. B focuses on data collection for health services, C relates to community medical interventions, and D is about charitable donations, none of which are relevant to the client's self-care instructions.
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A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?
- A. Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease.
- B. Provide screenings for community members to identify early manifestations of Parkinson's disease.
- C. Educate clients about common techniques used to diagnose Parkinson's disease.
- D. Educate clients who are at risk for Parkinson's disease about maintaining a low-cholesterol diet.
Correct Answer: A
Rationale: The correct answer is A: Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. Tertiary prevention aims to prevent complications and further deterioration in individuals already diagnosed with a disease. In Parkinson's disease, exercise is crucial to maintain mobility and function. Regular exercise helps improve balance, strength, and coordination, which can slow down the progression of the disease and enhance quality of life. Providing daily exercise classes specifically tailored to individuals with Parkinson's disease aligns with tertiary prevention goals by promoting physical activity and independence.
Choice B is incorrect as it focuses on early identification rather than intervention for those already diagnosed. Choice C is incorrect as educating about diagnostic techniques is more aligned with secondary prevention. Choice D is incorrect as maintaining a low-cholesterol diet is not a specific tertiary prevention strategy for Parkinson's disease.
A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
- A. Palpate the distal pulse to the cast
- B. Engage employers to have wellness centers at each industrial site
- C. Ensure timely and effective medical intervention and treatment for community members
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A: Palpate the distal pulse to the cast. This is the first action the nurse should take as it assesses the circulation to the extremity. Checking the distal pulse ensures that there is no compromise to blood flow post-casting, which is crucial in preventing complications like compartment syndrome. Engaging employers (B), ensuring community medical interventions (C), and donating clothes (D) are unrelated and not urgent in this scenario. It is important to prioritize patient safety and monitor for any potential complications following cast application.
Select the great public health achievements in the United States in the 20th century. (Select all that apply.)
- A. Elimination of common infectious diseases
- B. Recognition of tobacco as a health hazard
- C. Fluoridation of drinking water
- D. Healthier mothers and babies
Correct Answer: A
Rationale: The correct answer is A: Elimination of common infectious diseases. This achievement significantly improved public health by decreasing morbidity and mortality rates. It was made possible through advancements in vaccination programs, sanitation practices, and public health education. This achievement led to the eradication of diseases like smallpox and the near-elimination of diseases like polio. The other choices are incorrect because although they are also important public health achievements, they do not have the same widespread impact as the elimination of common infectious diseases. Recognizing tobacco as a health hazard (B) led to public health campaigns and regulations but did not have the same broad-reaching impact. Fluoridation of drinking water (C) improved dental health but did not have the same magnitude of impact on overall public health. Healthier mothers and babies (D) is crucial but does not encompass the scope of achievement represented by the elimination of common infectious diseases.
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
- A. Remove the plug from the socket by pulling the cord.
- B. Check for a tingling sensation around the cord to ensure the electricity is working.
- C. Cover extension cords with a rug.
- D. Use three-pronged grounded plugs.
Correct Answer: D
Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important because three-pronged grounded plugs help prevent electrical fires by providing a path for excess electricity to safely dissipate, reducing the risk of overheating and sparking. This is crucial in preventing electrical fires.
A: Removing the plug by pulling the cord can damage the cord and increase the risk of electrical hazards.
B: Checking for a tingling sensation is not a reliable method to ensure electricity is working and does not prevent electrical fires.
C: Covering extension cords with a rug can create a fire hazard by trapping heat and increasing the risk of overheating.
E, F, G: No other options were provided.
Which data is the nurse examining when assessing the presence of certain chemicals in the blood and urine samples from a community?
- A. Toxicology data
- B. Biomonitoring data
- C. Exposure assessments
- D. Environmental burden
Correct Answer: B
Rationale: The correct answer is B: Biomonitoring data. Biomonitoring involves measuring chemicals or their metabolites in biological samples like blood and urine to assess human exposure levels. This data helps nurses understand the presence and levels of chemicals in the body. Toxicology data (choice A) focuses on the adverse effects of chemicals on biological systems, not their presence. Exposure assessments (choice C) involve determining how individuals come into contact with chemicals, not directly measuring the chemicals in samples. Environmental burden (choice D) is a broader term that includes the impact of chemicals on the environment, not specifically focused on human samples.