Nokea
The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse (RN) or a practical nurse (PN)?
- A. Assessment of the speech pattern of a mobile adult who had a mild stroke last year.
- B. Safety teaching for an older male client whose wife complains that he uses an unsafe ladder while painting.
- C. Wound care for a client who had a postoperative infection following abdominal surgery two weeks ago.
- D. Evaluation of crutch use by a 65-year-old male client who broke his tibia while snow skiing.
Correct Answer: C
Rationale: The correct answer is C because wound care for a postoperative infection is a skilled service that qualifies for Medicare reimbursement. Choices A, B, and D involve assessments, teaching, and evaluation, which may not meet the criteria for Medicare reimbursement as they do not directly involve a skilled nursing service related to a postoperative condition.
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The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month-old child during the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive the MMR booster based on the current recommendations and guidelines by the CDC?
- A. 13-18 years of age
- B. 11-12 years of age
- C. 18-24 months of age
- D. 4-6 years of age
Correct Answer: D
Rationale: The correct answer is D: 4-6 years of age. The CDC recommends administering the MMR booster to children aged 4 to 6 years. This booster dose is essential to ensure continued immunity against measles, mumps, and rubella. Choices A, B, and C are incorrect because they do not align with the CDC guidelines for the age range of MMR booster administration.
As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, School population, Workers in factories
- B. Families in their homes, School population, Patients in hospital
- C. All except workers in factories
- D. All except patients in hospital
Correct Answer: A
Rationale: The correct answer is A: 'Families in their homes, School population, Workers in factories.' As a community health nurse, you are responsible for providing healthcare services and promoting health within the community. This includes visiting families in their homes to assess their health needs, working with the school population to educate them on preventive health measures, and ensuring the health and safety of workers in factories. Choices B, C, and D are incorrect because they do not encompass the full scope of a community health nurse's responsibilities. Choice B does not include workers in factories, Choice C excludes an important population group, and Choice D excludes an essential setting where healthcare services are provided.
As of 2002, the following data was obtained from municipality X: No. of live births - 750, No. of infant deaths - 10, No. of maternal deaths - 6, Total population - 25,000. The 2002 maternal mortality rate of municipality X is:
- A. 15/1000 live births
- B. 12.5/1000 live births
- C. 6/1000 live births
- D. 8/1000 live births
Correct Answer: C
Rationale: The maternal mortality rate is calculated as 6 maternal deaths per 1000 live births. The correct answer is C because to calculate the maternal mortality rate, you divide the number of maternal deaths by the number of live births and then multiply by 1000. Choices A, B, and D are incorrect as they do not match the given data on maternal deaths and live births for municipality X.
Which intervention should the public health nurse implement to address one of the leading health indicators of Healthy People 2020?
- A. Lead a weekly water aerobics class for the elderly at a community center.
- B. Teach a class on cultural awareness to nursing students at the university.
- C. Design and implement a no smoking campaign at the local high school.
- D. Write a grant to help provide glucometers to individuals who cannot afford one.
Correct Answer: C
Rationale: Designing and implementing a no smoking campaign aligns with the objective of reducing tobacco use, which is one of the leading health indicators of Healthy People 2020. This intervention directly targets a significant public health concern. Leading a water aerobics class, teaching cultural awareness, or providing glucometers, while beneficial in other contexts, do not specifically address the leading health indicators outlined by Healthy People 2020.
While caring for a client with infective endocarditis, the nurse must be alert for signs of pulmonary embolism. Which of the following assessment findings suggests this complication?
- A. Positive Homan's sign
- B. Fever and chills
- C. Dyspnea and cough
- D. Sensory impairment
Correct Answer: C
Rationale: The correct answer is C: 'Dyspnea and cough.' Pulmonary embolism often presents with a sudden onset of dyspnea (difficulty breathing) and cough, which are due to the obstruction of blood flow in the pulmonary arteries. Choices A, B, and D are incorrect. Positive Homan's sign is associated with deep vein thrombosis, fever and chills are nonspecific symptoms commonly seen in infective endocarditis, and sensory impairment is not typically indicative of pulmonary embolism.