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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.
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A community health nurse who works in a Gulf Coast town that caters to tourists is conducting a disaster management class for residents and business owners. What is the most important content for the nurse to include in this class?
- A. Methods used to treat water to ensure it is safe to drink.
- B. Available evacuation routes from the town.
- C. Hurricane preparedness for families and businesses.
- D. Actions to be taken during a tornado.
Correct Answer: C
Rationale: Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.
After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?
- A. Suggest that they stay with someone for 10 hours post-injection.
- B. Advise them to bring a family member along for the final injection.
- C. Urge them to get all their family members vaccinated as soon as possible.
- D. Recommend annual blood tests to monitor their immunization levels.
Correct Answer: D
Rationale: Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.
A 23-year-old single mother of three visits the Department of Health walk-in clinic with symptoms of abdominal pain, painful urination, fever, and vaginal discharge. She states that these symptoms began three days ago and she initially thought it was a urinary tract infection (UTI) until the vaginal discharge became purulent and bloody. She reports having three sexual partners over the past 60 days. She has visited the clinic three times in the past 12 months for similar concerns, but no sexually transmitted infections were diagnosed on those three prior visits. Given the history of clinic visits over the past 12 months with similar concerns, the nurse determines that client education should focus on prevention. What type of preventive education should the nurse identify for this client?
- A. Primary prevention, which would include education on safe sex practices.
- B. Secondary prevention, which would include regular screenings for sexually transmitted infections.
- C. Tertiary prevention, which would include education regarding prescribed treatments for sexually transmitted infections.
- D. Quaternary prevention, which would include strategies to avoid unnecessary or harmful interventions.
Correct Answer: A
Rationale: Primary prevention includes measures that prevent the occurrence of a specific disease or health condition. In the context of sexually transmitted infections (STIs), primary prevention would involve education on safe sex practices. This could include information on the use of condoms, the importance of regular STI testing, and the risks associated with having multiple sexual partners.
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.
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.