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A school nurse is planning a program to address bullying among students. Which strategy is most likely to be effective?
- A. Implementing a zero-tolerance policy for bullying
- B. Conducting peer mediation sessions
- C. Providing workshops on conflict resolution
- D. Promoting bystander intervention
Correct Answer: D
Rationale: Promoting bystander intervention is the most effective strategy as it empowers students to take action and prevent bullying incidents. By encouraging bystanders to intervene when they witness bullying, the behavior is less likely to continue. Zero-tolerance policies may have limited effectiveness as they often focus on punishment rather than prevention. Peer mediation and conflict resolution workshops are valuable but may not directly address the immediate need for bystander intervention in bullying situations.
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A community health nurse is planning a program to address the rising rates of obesity in the community. Which intervention should the nurse prioritize?
- A. organizing community exercise programs
- B. distributing educational materials on healthy eating
- C. partnering with local grocery stores to provide discounts on healthy foods
- D. conducting health screenings for early detection of obesity-related conditions
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is caring for a client with a chest tube. Which observation indicates that the chest tube is functioning effectively?
- A. Continuous bubbling in the water-seal chamber.
- B. Intermittent bubbling in the suction control chamber.
- C. No fluctuation (tidaling) in the water-seal chamber.
- D. Drainage of clear, pale yellow fluid from the chest tube.
Correct Answer: B
Rationale: Intermittent bubbling in the suction control chamber is the correct observation indicating effective functioning of the chest tube. This bubbling signifies that the suction system is working correctly and maintaining the desired negative pressure in the pleural space. Continuous bubbling in the water-seal chamber suggests an air leak, which is not a normal finding. No fluctuation (tidaling) in the water-seal chamber may indicate a blockage or lack of communication between the pleural space and the water-seal, which is not ideal. Drainage of clear, pale yellow fluid from the chest tube is a normal finding, but it does not specifically indicate the effectiveness of the chest tube function.
A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
- A. free blood pressure screenings
- B. lectures on heart-healthy diets
- C. distribution of pamphlets on heart disease
- D. cooking demonstrations of healthy recipes
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While assessing a client receiving a blood transfusion, which finding requires immediate intervention?
- A. Temperature of 100.4°F (38°C).
- B. Blood pressure of 110/70 mm Hg.
- C. Heart rate of 90 beats per minute.
- D. Complaints of feeling cold.
Correct Answer: C
Rationale: A heart rate of 90 beats per minute requires immediate intervention when assessing a client receiving a blood transfusion. This finding can indicate a potential transfusion reaction, such as a hemolytic reaction or fluid overload, which requires prompt evaluation and management to prevent serious complications. While a temperature of 100.4°F (38°C) may indicate a mild fever, it is not typically an immediate concern during a blood transfusion. A blood pressure of 110/70 mm Hg is within the normal range, and complaints of feeling cold can be addressed but do not indicate an urgent need for intervention compared to the critical nature of a potential transfusion reaction indicated by an elevated heart rate.
A public health nurse is planning a smoking cessation program for a local community. Which component is most important to include in the program?
- A. information on the health risks of smoking
- B. strategies for coping with withdrawal symptoms
- C. testimonials from former smokers
- D. distribution of nicotine replacement therapy
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.