Nokea
access t o heal thcare Downloaded by Dawson maxwell (maxwelldawson083@gmail.com) lOMoARcPSD|38437257 The nurse worki ng i n a community health clinic that serves recent Somali immi grants notes that most mothers refuse to give permi ssion for routine immunizati ons of thei r preschool ers. Which i ndi vidu al i s l ikel y to have the most i nfl uential on these women's perceptions about their chil dren's heal thcare needs?
- A. husbands
- B. cl i ni c heal thcare provi der
- C. ol der femal es
- D. tri bal chief -
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?
- A. Administer antihistamines as prescribed.
- B. Apply moisturizing lotion to the skin.
- C. Use cool water for bathing.
- D. Encourage a high-protein diet.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which intervention by the community health nurse is an example of a secondary level of prevention?
- A. providing a needle exchange program at a community mental health clinic
- B. developing an educational program for clients with diabetes mellitus
- C. administering influenza vaccines to residents of a nursing home
- D. initiating contact notifications for sexual partners of an HIV client
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A government office worker is seen in the emergency room after opening an envelope containing a powder-like substance which is being tested for anthrax. Which discharge instruction should the nurse provide the client concerning inhalation anthrax?
- A. return to the emergency room if flu-like symptoms develop within 42 days
- B. notify co-workers to get the anthrax vaccine at the public health department
- C. isolation from friends and family members is recommended for 3 weeks
- D. cleanse all surfaces touched with pre-moistened anti-bacterial wipes
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
- A. Continue the heparin infusion as prescribed.
- B. Decrease the heparin infusion rate.
- C. Increase the heparin infusion rate.
- D. Stop the heparin infusion and notify the healthcare provider.
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
- A. Blood pressure of 160/90 mm Hg.
- B. Blood glucose level of 180 mg/dL.
- C. Difficulty speaking.
- D. Temperature of 99.8°F (37.7°C).
Correct Answer: C
Rationale: Difficulty speaking is a classic symptom of stroke, suggesting a potential blockage of blood flow to the brain. Prompt intervention is crucial to minimize brain damage. Elevated blood pressure (Choice A) may need management but is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8°F (37.7°C) (Choice D) is within normal range and not a critical finding in this context.