A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
- A. Motor vehicle safety.
- B. Sports injury prevention.
- C. Substance abuse prevention.
- D. Gun safety.
Correct Answer: A
Rationale: The correct answer is A: Motor vehicle safety. Adolescents are at the highest risk of death due to motor vehicle accidents, making it a crucial topic for safety education. This age group is more likely to engage in risky driving behaviors such as speeding, distracted driving, and not wearing seat belts. By focusing on motor vehicle safety, the nurse can address the leading cause of death and help adolescents make safer choices.
Incorrect Choices:
B: Sports injury prevention - While sports injuries are common, they are not the leading cause of death for adolescents.
C: Substance abuse prevention - Substance abuse is a significant concern, but it is not the primary cause of death for this age group.
D: Gun safety - While gun safety is important, it is not the leading cause of death for adolescents.
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a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
- A. have the client’s daughter communicate information about the procedure
- B. arrange for a member of the client’s community to interpret the teaching
- C. identify the clients spoken dialect prior to contacting an interpreter
- D. use professional terminology when providing education prior to the procedure
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization. Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology. Choice C may delay the communication process unnecessarily. Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.
A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
- A. You will be taking a once-weekly dose of disulfiram to help control withdrawal symptoms during treatment.
- B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
- C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
- D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
Correct Answer: D
Rationale: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
- A. the client dresses her affected side first.
- B. the client bears weight on their arms when using crutches
- C. the client coughs when swallowing her medications
- D. the client’s caregiver fills a pill organizer weekly
Correct Answer: D
Rationale: The correct answer is D because it indicates the caregiver's involvement in medication management, which is crucial for a client post-stroke. The nurse should report this to ensure medication adherence and safety. Choice A is not concerning as it shows the client's independence in dressing. Choice B could be a normal weight-bearing technique with crutches. Choice C may indicate dysphagia, which is important but not as immediate as medication management.
a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
a nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first?
- A. give positive feedback to students who makeappropriate choices.
- B. help students recognize the value of making healthy food choices 3. provide students with resources about making wise choices independently 4. determine student’s motivation to learn about healthy food choices.
- C. a nurse manger in local community health agency is creating a job description for a new nurse who will practice community oriented nursing. which of the following should the nurse include in the job description? (select all that apply)
- D. investigate potential health and environmental issues
- E. initiate support groups for parents of autistic children
Correct Answer: B
Rationale: The correct answer is B: help students recognize the value of making healthy food choices. This is the first step the nurse should take because it focuses on educating and empowering the students to understand the importance of healthy eating. By helping students recognize the value of making healthy food choices, the nurse can lay the foundation for long-term behavior change. Providing positive feedback (choice A) can come later once students have started making better choices. Providing resources (choice C) and determining motivation (choice D) are important but secondary steps after helping students understand the value of healthy eating. Choices E and F are irrelevant and not related to the scenario.
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