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A public health nurse is planning an educational campaign to reduce the incidence of hypertension in the community. Which group should be the primary target of this campaign?
- A. adolescents
- B. young adults
- C. middle-aged adults
- D. older adults
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn. The client asks why she should breastfeed now. Which information should the nurse provide?
- A. To bond with the baby.
- B. To help the baby latch on better.
- C. To stimulate contraction of the uterus.
- D. To promote milk production.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assessing a client with pneumonia who is receiving oxygen therapy. Which finding indicates that the therapy is effective?
- A. The client's respiratory rate is 20 breaths per minute.
- B. The client's arterial blood gases show a pH of 7.35.
- C. The client's oxygen saturation is 92%.
- D. The client's breath sounds are clear.
Correct Answer: A
Rationale: A respiratory rate of 20 breaths per minute indicates effective oxygen therapy. In pneumonia, the respiratory rate typically increases due to the body's effort to improve oxygenation. Option B (pH of 7.35) is related to acid-base balance, not specifically indicating oxygen therapy effectiveness. Option C (oxygen saturation of 92%) is below the normal range (95-100%), suggesting the need for oxygen therapy. Option D (clear breath sounds) is a positive finding but not a direct indicator of oxygen therapy effectiveness.
The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?
- A. Crush the medication and mix it with applesauce.
- B. Have the client drink a full glass of water with the medication.
- C. Administer the medication with a small amount of pudding.
- D. Place the medication at the back of the client's tongue.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with Addison's disease. Which finding requires immediate intervention?
- A. Hyperpigmentation of the skin.
- B. Low blood pressure.
- C. Nausea and vomiting.
- D. Hypoglycemia.
Correct Answer: B
Rationale: Low blood pressure in a client with Addison's disease requires immediate intervention as it can indicate an Addisonian crisis, a life-threatening condition that necessitates prompt treatment. Hyperpigmentation of the skin is a characteristic finding in Addison's disease but does not require immediate intervention. Nausea and vomiting can be managed symptomatically in Addison's disease. While hypoglycemia needs attention, it is not the most critical finding requiring immediate intervention in this context.
Which client has the highest risk for devel oping community-acquired pneumonia?
- A. a 40-year ol d fi rst-grade teacher w ho works w ith underprivileged children
- B. a 75-year ol d reti red secretary w ith exercise-induced w heezing
- C. a 60-year ol d homeless person who i s an alcoholic and smokes
- D. a 35-year old aerobics instructor who skips meals and eats only vegetables -
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.