Nokea
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
- A. Balancing the bottle on the sterile basin while pouring the liquid
- B. Clarify the reason for the referral
- C. Identify family needs and interventions
- D. Provide discharge teaching
Correct Answer: A
Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination. Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.
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Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
- A. Conducting risk assessments for environmental contaminants
- B. Developing emergency response plans for environmental hazards
- C. Performing regular community environmental health assessments
- D. Implementing pollution prevention strategies
Correct Answer: D
Rationale: Correct Answer: D - Implementing pollution prevention strategies
Rationale: Tertiary prevention aims to reduce the impact of disease or injury by minimizing disability and promoting rehabilitation. Implementing pollution prevention strategies falls under tertiary prevention as it focuses on reducing exposure to harmful environmental factors, thereby preventing further health complications. This intervention directly addresses the root cause of environmental health issues by mitigating pollution, which can lead to improved health outcomes for individuals and communities.
Summary of other choices:
A: Conducting risk assessments for environmental contaminants - This falls under primary prevention as it aims to identify and prevent exposure to environmental hazards before they occur.
B: Developing emergency response plans for environmental hazards - This falls under secondary prevention as it focuses on early detection and prompt intervention during environmental emergencies.
C: Performing regular community environmental health assessments - This falls under primary prevention as it aims to identify potential environmental health risks and prevent them from occurring in the first place.
A community nurse is educating the community about mitigation strategies to address climate
- A. Which strategy would the nurse teach to the community?
- B. Implementing early warning systems for extreme temperatures
- C. Improving public transportation
- D. Changing building codes to withstand hurricanes
Correct Answer: A
Rationale: The correct answer is A because the question is asking specifically about the strategy the nurse would teach to the community. This aligns with the nurse's role in providing education. B focuses on preparedness, not mitigation. C and D are important strategies but not directly related to mitigation efforts. E, F, G are irrelevant as they are not provided. In summary, A is correct as it directly addresses the nurse's educational role in teaching mitigation strategies.
A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take?
- A. Check gastric residuals every 4 hours
- B. Implementing health promotion activities such as education programs
- C. Obtaining and interpreting information regarding risks and benefits to the community
- D. Monitoring the sexual activity of adolescents
Correct Answer: A
Rationale: The correct answer is A: Check gastric residuals every 4 hours. This is essential when administering enteral feeding to prevent complications such as aspiration or feeding intolerance. By monitoring residuals, the nurse can assess the client's tolerance to the feeding regimen and adjust accordingly. Option B is incorrect as it is unrelated to enteral feeding. Option C is also incorrect as it pertains to community health, not individual client care. Option D is irrelevant and invasive to the client's privacy. Monitoring sexual activity of adolescents is outside the scope of enteral feeding administration.
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
- A. Cochrane Library
- B. Agency for Healthcare Research and Quality (AHRQ)
- C. Medline with Full Text
- D. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
Correct Answer: A
Rationale: The correct answer is A: Cochrane Library. The Cochrane Library is renowned for regularly updated systematic reviews, providing high-quality evidence for healthcare decision-making. It follows strict methodology to ensure reliability. AHRQ (B) focuses on healthcare quality improvement, not systematically updated reviews. While Medline (C) and CINAHL (D) are databases for primary research articles, they do not specifically focus on systematic reviews. Therefore, Cochrane Library is the most appropriate database for the public health nurse's research needs.
A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)
- A. Household income of $23,000 per year
- B. Reading level of a third grader
- C. Medication ineffective due to error in prescription
- D. Originally from Sudan
Correct Answer: A
Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health because low income can impact access to healthy foods, medications, and healthcare services, affecting diabetes management. Choice B, reading level, is related to health literacy but not specifically a social determinant in this scenario. Choice C, medication error, is a healthcare system issue. Choice D, origin from Sudan, is related to cultural background but not directly a social determinant affecting diabetes management.