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.
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In the event of a communication breakdown during a disaster, what actions should be taken?
- A. Contact a larger hospital to see how they handle disaster communication.
- B. Find out who did not follow the Communication tree.
- C. Have one person follow-up for all the hospital to see where the breakdown occurred.
- D. Confirm that all essential staff are on either the lockdown team or the relief team.
Correct Answer: D
Rationale: Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.
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.
The home health nurse visits a young adult client who has AIDS with Kaposi's sarcoma and peripheral neuropathies. The client's parents, who are the caretakers, tell the nurse that their child sleeps most of the time. The nurse assesses that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has a fentanyl patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement?
- A. Give a complete bed bath to further assess the client.
- B. Remove the fentanyl patch as directed by prescription.
- C. Call for ambulance transportation to the hospital immediately.
- D. Discuss end-of-life decisions with the client's parents.
Correct Answer: D
Rationale: Discussing end-of-life decisions with the client's parents is the most appropriate intervention. The client is semi-conscious, sleeps most of the time, and is in significant pain. These symptoms suggest that the client's condition is deteriorating. It is important to have conversations about end-of-life care preferences and decisions to ensure that the client's wishes are respected and that the parents are prepared.
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.
The nurse is screening for hypertension at a local health fair. A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.
- A. Encourage the client to “keep doing whatever you are doing.â€.
- B. Assess the client's lifestyle and other risk factors for hypertension.
- C. Ask the client about any current antihypertensive medications.
- D. Obtain another blood pressure reading to verify the first reading.
- E. Recommend further evaluation for possible pre-hypertension.
Correct Answer: B,C,D,E
Rationale: Assessing the client's lifestyle and other risk factors for hypertension, asking about current antihypertensive medications, obtaining another blood pressure reading to verify the first reading, and recommending further evaluation for possible pre-hypertension are all appropriate interventions for a client with a blood pressure reading of 138/80 mm Hg, which indicates possible pre-hypertension.
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