Nokea
A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?
- A. Review the home medication schedule with the client and family.
- B. Provide the client with information about medical alert devices.
- C. Arrange for a bedside commode to be delivered to the home.
- D. Meet with the case manager to plan a home safety evaluation.
Correct Answer: D
Rationale: A home safety evaluation is critical to identify hazards and ensure the client's limited mobility is accommodated, preventing falls and ensuring safety.
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The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?
- A. Accessibility to trauma care.
- B. Annual health fair.
- C. Family planning center.
- D. Weather-related disaster plan.
Correct Answer: A
Rationale: In rural areas, accessibility to trauma care is critical due to geographic isolation, ensuring timely management of emergencies and improving survival rates.
The home health nurse enters the home of a client, and the client's spouse immediately reports that the client cannot be awakened and appears to have taken an overdose of some medications. After determining that the client is unresponsive but is breathing and has a pulse, which action should the nurse take?
- A. Call 911 for emergency transport.
- B. Determine what medications were ingested.
- C. Contact the poison control center.
- D. Attempt to induce vomiting using a tongue blade.
Correct Answer: A
Rationale: Calling 911 ensures immediate medical intervention for an unresponsive client, critical to address a potential overdose.
While presenting a workshop titled, 'Improving Access to Health Services' to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?
- A. The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity.
- B. The Community Health Improvement Process is used for issues in high risk populations.
- C. The Institute of Medicine includes 'access' as one of its priority recommendations.
- D. The committee for 'Healthy People 2030' has identified 'access' as a national goal.
Correct Answer: D
Rationale: Healthy People 2030' identifies access as a national goal, underscoring its importance in public health, making it a compelling reason for addressing the issue.
A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?
- A. Fasting blood glucose average readings were 20% lower at the end of the classes.
- B. Discussion of food exchanges and calories was a well-attended class.
- C. Demonstrating the use of a blood glucose meter was an effective teaching strategy.
- D. Parking convenience for attendees continued to be a major concern.
Correct Answer: A
Rationale: Lower fasting blood glucose readings directly indicate improved diabetes management, reflecting the classes' effectiveness.
During a substance abuse class at an elementary school, a student says, 'My Dad used to drink one beer a day. Now he drinks at least a six-pack every day.' What does this child's description of the father indicate?
- A. The parent's judgment is likely too impaired to provide care for the child.
- B. Since the parent is increasing his alcohol intake, it is likely that he will soon begin using other addicting drugs.
- C. The parent is exhibiting tolerance to alcohol and must increase the amount to achieve the desired effect.
- D. The child is denying that there is a problem of alcohol abuse in the family.
Correct Answer: C
Rationale: The increase from one beer to a six-pack daily suggests tolerance, where the parent needs more alcohol to achieve the same effect, a hallmark of developing alcohol dependency.