Nokea
A public health nurse is evaluating a program designed to reduce the incidence of diabetes in the community. Which outcome indicates that the program is successful?
- A. increased participation in diabetes education sessions
- B. higher rates of blood glucose monitoring
- C. reduced incidence of diabetes-related complications
- D. greater knowledge of diabetes prevention methods
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A public health nurse is planning a campaign to increase immunization rates among children in a low-income community. Which intervention should the nurse prioritize?
- A. provide free immunizations at local schools
- B. create educational materials about vaccine safety
- C. organize a community forum to discuss immunization concerns
- D. partner with local media to promote the importance of vaccines
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?
- A. total cholesterol 190
- B. glycosylated hemoglobin of 7%
- C. B-type natriuretic peptide 550 pg/ml (more than 100 is bad)
- D. potassium 3.7
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a 2 wk postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits bad tenderness, shoulder pain, & describes feelings of malaise. Her vital signs are: T 101.8, BP 100/50, HR 104, and RR 18. Which action should the RN take?
- A. have the client transported via ambulance to the hospital
- B. recheck the client's vital signs in 30 minutes
- C. instruct the client to drive to the hospital for admission
- D. determine the client's current symptoms
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with hyperthyroidism is receiving radioactive iodine therapy. Which statement by the client indicates a need for further teaching?
- A. I should avoid close contact with pregnant women and children for a few days.
- B. I may experience dry mouth and taste changes for a few days.
- C. I may experience some neck swelling.
- D. I may experience some neck swelling.
Correct Answer: D
Rationale: The correct answer is 'D.' The client stating 'I may experience some neck swelling' does not indicate a need for further teaching since neck swelling is an expected side effect of radioactive iodine therapy. Choices A and B are correct statements as the client should avoid close contact with pregnant women and children for a few days due to radiation exposure, and dry mouth and taste changes are common side effects. Choice C is redundant with choice D, making D the correct answer.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
- A. Abruptly stop the medication.
- B. Continue the medication at the same dose.
- C. Ask the healthcare provider about tapering the drug dose over the next week.
- D. Increase the dose of the medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.