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The nurse is caring for a patient with the sexually transmitted infection (STI) gonorrhea. The patient reports having multiple sexual partners. What response should the nurse provide?
- A. Emphasize that practicing safe sex eliminates the risk of STIs.
- B. Instruct the patient on the importance of informing sexual partners.
- C. Discuss that partners without similar symptoms may not be infected.
- D. Clarify that all STIs are transmitted through sexual intercourse.
Correct Answer: B
Rationale: Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.
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A nurse is preparing a nutrition class for a group of senior citizens at a local community center. The focus of the class is to highlight the quantity and types of fats in various foods. What is the most effective teaching method the nurse should employ?
- A. Exhibit posters showcasing different foods and discuss their fat content.
- B. Identify the most commonly consumed foods among the group and discuss each product's nutritional information.
- C. Screen a film about preparing tasty meals with low-fat ingredients.
- D. Request each senior to bring a food item for others to sample, then estimate the fat content of these foods.
Correct Answer: B
Rationale: Identifying the most commonly consumed foods among the group and discussing each product's nutritional information would be the most effective method. This approach is personalized and relevant, making the information more likely to be remembered and applied.
The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school. Which action should the nurse include to achieve this goal?
- A. Assist the residents in planning a campaign to remind drivers passing through the school zone to always wear seatbelts.
- B. Advise the residents to keep their porch lights on during the hours when children are walking to and from school.
- C. Encourage residents with older homes along the school route to have their homes inspected for high lead levels.
- D. Facilitate a discussion about the advantages of having designated safe houses located throughout the school neighborhood.
Correct Answer: D
Rationale: Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.
A 42-year-old male client, who started experiencing mild flu-like symptoms 2 days ago, including an oral temperature of 101.2 °F (38.4 °C), came to the emergency department today due to increasing shortness of breath, cough, and chest pain. The client has no significant medical or surgical history. He occasionally drinks alcohol but denies smoking or drug use. He mentioned that he works in a government building and opened a package that was full of white powder. He may have inhaled some of the powder and coughed a few times but did not have any problems until a couple of days later. What actions should be taken?
- A. Apply oxygen via a nasal cannula.
- B. Place the client on a cardiorespiratory monitor.
- C. Infuse IV fluid boluses.
- D. Administer antiviral medication.
Correct Answer: B
Rationale: Given the client's symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client's condition and respond appropriately.
The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?
- A. Characteristics of families in the upper-middle class.
- B. Interventions focused on college-educated individuals.
- C. The reliability of such a high average family income.
- D. The frequency of incomes above and below the average.
Correct Answer: D
Rationale: Understanding the frequency of incomes above and below the average can help the nurse identify income inequality within the community. This information is crucial as income inequality can impact access to healthcare services and health outcomes.
During a routine office visit, a nurse is obtaining an older adult client's vital signs and notices the caregiver is very quiet and withdrawn. When asked, the caregiver acknowledges feeling exhausted from caring for the client 24 hours a day. What is the best information for the nurse to provide?
- A. Suggest that social services be contacted to find a respite care facility for the client.
- B. Tell the caregiver to consider hiring a private nurse to provide some time away.
- C. Advise a case management evaluation of the client's home environment.
- D. Recommend that the client's family return to the area to help provide assistance.
Correct Answer: A
Rationale: Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client's home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care.