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The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?
- A. Check the client's temperature, blood sugar, and urine output.
- B. Arrange for the client to be transported for laboratory tests and an electrocardiogram (ECG).
- C. Delegate care of the crying client to an unlicensed assistant.
- D. Direct the client to the shelter's nutrition center to obtain water and food.
Correct Answer: D
Rationale: Directing the client to the shelter's nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.
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The epidemiological triad can be utilized to devise strategies for preventing farm machinery injuries. What action should the nurse take to concentrate on the agent?
- A. Convert written vehicle instructions into a pictorial format.
- B. Educate farm workers not to smoke around farm equipment.
- C. Offer rehabilitation services to injured farm workers.
- D. Collaborate with lawmakers to mandate safe tractor design.
Correct Answer: D
Rationale: Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.
The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?
- A. Severe life stresses at any age can increase the risk of suicide.
- B. Suicides predominantly occur in lower socioeconomic groups.
- C. Robust social support systems can prevent suicide.
- D. Discussing suicide with individuals suffering from depression can be hazardous.
Correct Answer: A
Rationale: Severe life stresses at any age can indeed increase the risk of suicide. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
- A. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
- B. Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program.
- C. Measure the prevalence of pediculosis capitis among the children after four months.
- D. Conduct an initial examination of each child in the school to obtain baseline data.
Correct Answer: C
Rationale: Measuring the prevalence of pediculosis capitis among the children after four months would directly assess the effectiveness of the program. A decrease in the prevalence of the condition would indicate that the program was effective.
An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye. What is the most important for the clinic nurse to ask the client?
- A. Do you have any discharge from the eye?
- B. Are all of your immunizations up-to-date?
- C. Have you started any new medications recently?
- D. How frequently do you wash your hands?
Correct Answer: A
Rationale: If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
The Incident Command team discovers that over 30% of essential staff did not receive any communication. What should be done next?
- A. Identify the issue the facility is facing.
- B. Determine two actions the incident team should take to address the issue.
- C. Identify two parameters the team should monitor to ensure all essential personnel are aware of the communication tree.
- D. All of the above.
Correct Answer: D
Rationale: All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree.