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A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
- A. Encourage enrollment and attendance at weight reduction programs.
- B. Educate children at a daycare center about nutrition and exercise.
- C. Distribute health risk appraisal questionnaires at community functions.
- D. Measure the BMI of older adults at a community senior center.
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This is prioritized because it helps identify health risks at a population level, enabling targeted interventions. Choice A focuses on individual weight reduction, not community health. Choice B targets a specific group, neglecting the broader community. Choice D only addresses one aspect of health in a specific population.
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public health nurse take
- A. alert the family members of coworkers about possible exposure to anthrax
- B. place the employee under quarantine for 14 days
- C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4.
- D. instruct the client to wear a mask at work
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread. Choice B is incorrect as quarantine is typically done by health authorities, not the nurse. Choice C is incorrect as the nurse does not directly prescribe antibiotics. Choice D is incorrect as the client, not the nurse, should wear a mask for protection.
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
- A. meet with community members to discuss methods of playground maintenance
- B. partner city officials with community members to improve the playground condition
- C. work with local businesses to sponsor more trash receptacles in the playground
- D. engage neighborhood families to monitor the playground for further trash buildup
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue effectively. By involving the community directly, the nurse empowers residents to take ownership of the problem and fosters a sense of responsibility for maintaining a clean environment. This approach promotes sustainable change by creating a culture of vigilance and accountability among families. Other choices such as A, B, and C involve external parties and may not address the root cause or build community capacity for long-term solutions. Therefore, D is the most proactive and community-centered option to promote a clean and safe environment.
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
- A. use seasonings to enhance the flavor of foods
- B. provide sips of room temperature ginger ale between meals
- C. maintain the head of theclients bed in an elevated position after eating
- D. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
- E. assist the client in using guided imagery
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk can help soothe the stomach and provide some relief from nausea. It is important to offer a small amount like 120 ml to prevent overwhelming the digestive system.
A: Using seasonings may worsen nausea due to strong flavors.
B: Ginger ale can contain carbonation which may exacerbate nausea.
C: Elevating the head of the bed is more beneficial for GERD, not chemotherapy-induced nausea.
E: Guided imagery may be helpful for relaxation but may not directly address the nausea.
In summary, offering a small amount of cold milk is the most appropriate intervention as it can help provide relief without exacerbating the nausea.
a first response team isworking at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
- A. a client who has superficial partial thickness burn injuries over 5% of his body
- B. a client who has a femur fracture with a 2+ pedal pulse
- C. a client who is ambulatory andexhibits manic behavior
- D. a client who has a rigid abdomen with manifestations of shock.
Correct Answer: C
Rationale: The correct answer is C: a client who is ambulatory and exhibits manic behavior. In a triage situation, priority should be given to clients who have the highest risk of deterioration or immediate life-threatening conditions. In this scenario, a client exhibiting manic behavior may be a sign of an underlying medical or psychological emergency that requires immediate attention to prevent harm to themselves or others. This client may be at risk of causing harm or disrupting the triage process, making it necessary to address their condition promptly. Clients with superficial burns, femur fractures with a pedal pulse, or rigid abdomen with shock manifestations are important to assess and treat, but they do not present an immediate threat to themselves or others like a client exhibiting manic behavior.
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.