Nokea
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
- A. You should have a complete eye examination every 2 years until the age of 64.
- B. You should have your hearing screened every 5 years.
- C. You should have your stool tested for blood every other year until the age of 74.
- D. You should have your fasting blood glucose level checked every 6 years.
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.
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a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take
- A. first.
- B. determine potential funding sources for the program
- C. inquire about the availability of volunteers
- D. identify alternative solutions to address concerns
- E. perform a needs assessment
Correct Answer: C
Rationale: The correct answer is C: inquire about the availability of volunteers. This is the first step the nurse should take because volunteers are essential for the successful implementation of the mobile meal program. Without a sufficient number of volunteers, the program may not be sustainable. Additionally, volunteers can provide valuable support in meal preparation, delivery, and interacting with older adults.
Other choices are incorrect because:
A: Planning the program first without considering the availability of volunteers may lead to difficulties in execution.
B: Determining funding sources is important but should come after ensuring there are enough volunteers to support the program.
D: Identifying alternative solutions is premature without first establishing the foundation of volunteer support.
E: Performing a needs assessment is important but should come after securing volunteer assistance to ensure feasibility.
During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first?
- A. report the incident to local authorities
- B. check the child for injuries
- C. refer the parent to a social service agency
- D. enroll the parent in anger management classes.
Correct Answer: A
Rationale: The correct answer is A: report the incident to local authorities. The nurse's first priority is to ensure the safety and well-being of the child. Reporting to local authorities is crucial to protect the child from further harm and to initiate an investigation. Checking for injuries (B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (C) or enrolling them in anger management classes (D) does not address the immediate safety concerns of the child. In this situation, immediate action through reporting to authorities is the most appropriate course of action.
a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards?
- A. track rates of illness caused by infection among employees
- B. survey workers about job related emotional stress
- C. identify industrial toxins that are present in the environment
- D. measure noise levels at various locations in the facility
Correct Answer: A
Rationale: The correct answer is A because tracking rates of illness caused by infection among employees can help identify potential physical hazards such as poor hygiene practices or exposure to harmful substances. This data can lead to interventions to prevent future illnesses. Surveying workers about emotional stress (B) is related to mental health, not physical hazards. Identifying industrial toxins (C) is important but focuses on chemical hazards, not exclusively physical. Measuring noise levels (D) is crucial for assessing hearing-related hazards but is not the only physical hazard to consider.
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
- A. the test monitors progression of the disease
- B. the test measures antibodies to the virus
- C. the test results are accurate 24 hr. after exposure to the virus
- D. a positive result requires initiating immunoglobulin administration
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme linked immunosorbent assay (ELISA) testing for HIV, antibodies produced by the body in response to the virus are detected. This helps in diagnosing HIV infection. Monitoring disease progression (choice A) requires other tests like viral load testing. Test results are not accurate within 24 hours of exposure (choice C) as it takes time for antibodies to develop. Initiating immunoglobulin administration (choice D) is not necessary for all positive results and depends on the individual's condition.
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 in the discussion?
- 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: B
Rationale: The correct answer is B. Remaining physically active can help minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity can help regulate mood, reduce anxiety, and improve overall well-being during withdrawal. It can also distract from cravings and provide a healthy coping mechanism.
Choice A is incorrect because disulfiram is not used to control withdrawal symptoms but rather as a deterrent to drinking by causing unpleasant reactions if alcohol is consumed.
Choice C is incorrect because Al-Anon meetings are for family and friends of individuals struggling with alcohol use disorder, not for the individual themselves.
Choice D is incorrect because learning functional skills is important for long-term recovery but may not specifically address initial withdrawal symptoms.