Nokea
During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their “road trips” that they take together when the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
- A. Report the father to the Department of Human Services.
- B. Encourage the father to have the child sit in the back seat instead.
- C. Instruct the father on the dangers of having small children in the front seat.
- D. Provide the parent with educational materials about car seat safety.
Correct Answer: C
Rationale: Children under age 13 should sit in the back seat to avoid injury from airbags in the front seat.
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When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: Dentition is an objective measure, which can be validated during a physical exam and influences nutritional care.
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
Nursing priority for incontinence: What should be the focus?
- A. "Risk for social isolation."
- B. "Risk for impaired skin integrity."
- C. "Risk for inadequate fluid intake."
- D. "Risk for impaired coping."
Correct Answer: B
Rationale: Impaired skin integrity is a primary concern due to the risk of skin breakdown from incontinence.
A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.
A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professionals?
- A. Homelessness should be addressed by improving financial assistance programs.
- B. Homelessness should be of concern to everyone in the neighborhood.
- C. Homelessness should be addressed by encouraging job growth in the area.
- D. Homelessness should be of concern to the mental health providers in the area.
Correct Answer: B
Rationale: Homelessness is a community-wide issue that requires collective action from all members of the neighborhood to address effectively.