Nokea
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.
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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.
When evaluating a community's health promotion needs, what is the first step the nurse should take?
- A. Conduct interviews with community members.
- B. Organize a health fair for the entire community.
- C. Forecast future healthcare needs.
- D. Assess the outcomes of previous projects.
Correct Answer: A
Rationale: Conducting interviews with community members is a crucial first step when evaluating a community's health promotion needs. These interviews can provide valuable insights into the community's health concerns, behaviors, and needs.
A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing. The nurse notices that the mother's 16-month-old child is constantly vying for her attention. What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?
- A. Have the 16-month-old child play in another room during breastfeeding.
- B. Read a book to the 16-month-old child while the mother is breastfeeding the infant.
- C. Encourage the toddler to watch TV while the mother is breastfeeding the baby.
- D. Give the toddler crayons and paper while the mother is breastfeeding the infant.
Correct Answer: B
Rationale: Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.
A 5-year-old patient has been brought in for a routine check-up and vaccination update. The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks. What actions should the nurse take?
- A. Review the child's medical history for any allergies or sensitivities.
- B. Examine the child's torso and arms for any signs of physical trauma.
- C. Advise the parents to initiate treatment with permethrin.
- D. Recommend the parents to seek further medical evaluation for the child.
Correct Answer: D
Rationale: Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues.
A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?
- A. Perceived barriers.
- B. Perceived susceptibility.
- C. Perceived severity.
- D. Perceived benefits.
Correct Answer: A
Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.