Nokea
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.
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A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?
- A. Serum osmolality of 320 mOsm/kg.
- B. Serum glucose of 600 mg/dL.
- C. Serum potassium of 4.5 mEq/L.
- D. Serum sodium of 140 mEq/L.
Correct Answer: B
Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.
During a home visit, the nurse observes that a client with limited mobility has difficulty accessing the bathroom. What should the nurse do first?
- A. suggest the client installs a bedside commode
- B. assist the client in modifying the home environment
- C. refer the client to an occupational therapist
- D. educate the client on mobility aids
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?
- A. uncertain risks
- B. potential outcomes
- C. priority of solutions
- D. target population data -
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Community health nurses are particularly concerned with the source of communicable diseases such as hepatitis A. Which group of individuals have a higher risk of contracting that type of hepatitis?
- A. IV drug users who share needles
- B. low-income families living in cramped quarters
- C. those who have recently received a blood transfusion
- D. sexually active persons with multiple partners
Correct Answer: B
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.