Nokea
An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone. To which organization should the parish nurse refer this client?
- A. The Social Security Administration office.
- B. The Senior Citizen Center.
- C. The Women, Infants, and Children office.
- D. The Adult Day Care Center.
Correct Answer: B
Rationale: The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client's weight loss and potential social isolation.
You may also like to solve these questions
In the context of the “Healthy People 2030†objectives, the nurse identifies a significant issue in the community related to the prevention of dental caries in children. Where would be the most effective location to start a prevention program?
- A. The local shopping mall.
- B. Hospital emergency departments.
- C. Women, Infants, and Children office.
- D. Community youth center.
Correct Answer: C
Rationale: The Women, Infants, and Children (WIC) office is an effective location for a prevention program. WIC offices serve a population that includes pregnant women, infants, and young children, who are at high risk for dental caries. These offices provide a supportive environment for education and preventive services.
The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.
- A. Areas with negative-pressure airflow.
- B. Puncture-resistant sharps containers.
- C. Needleless medication delivery systems.
- D. Vaccination schedule for Hepatitis B.
- E. Personal protective equipment (PPE).
Correct Answer: B,C,D,E
Rationale: Puncture-resistant sharps containers, needleless medication delivery systems, vaccination schedule for Hepatitis B, and personal protective equipment (PPE) are all critical components of an exposure control plan for blood-borne pathogens. These measures directly reduce the risk of exposure and infection.
During a two-week postoperative follow-up home visit, a client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and feelings of malaise. The client's vital signs are an oral temperature of 101.80F (38.8° C), a blood pressure of 100/50 mm Hg, a heart rate of 104 beats/minute, and a respiratory rate of 18 breaths/minute. What is the appropriate action for the nurse to take?
- A. Recheck the client's vital signs in 30 minutes.
- B. Have the client transported via ambulance to the hospital.
- C. Determine the client's current oxygen saturation rate.
- D. Instruct the client to drive to the hospital for admission.
Correct Answer: B
Rationale: Having the client transported via ambulance to the hospital is the most appropriate action. The client's symptoms suggest possible complications that require immediate medical attention. Abdominal tenderness and shoulder pain could indicate a serious condition such as a perforation or infection.
A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?
- A. Discussion of food exchanges and calories was a well-attended class.
- B. Parking convenience for attendees continued to be a major concern.
- C. Demonstrating the use of a blood glucose meter was an effective teaching strategy.
- D. Fasting blood glucose average readings were 20% lower at the end of the classes.
Correct Answer: D
Rationale: Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.
Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?
- A. A 65-year-old aide working in a nursing home.
- B. An 8-year-old girl with poorly-controlled asthma.
- C. A 60-year-old client with diabetes and agoraphobia (fear of crowds).
- D. An 80-year-old resident in an Alzheimer's unit.
Correct Answer: C
Rationale: A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.