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The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
- A. The Senior Citizen Center.
- B. The Social Security Administration office.
- C. The Adult Day Care Center.
- D. The Women, Infant, and Children office.
Correct Answer: A
Rationale: The Senior Citizen Center offers social activities and meal programs that can address potential causes of weight loss, such as isolation or inadequate nutrition, suitable for an independent older adult.
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During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores on both lower extremities that are healing poorly. Which intervention should the nurse implement?
- A. Refer to healthcare provider for complete evaluation.
- B. Send client to the emergency department for treatment.
- C. Instruct client to apply antibiotic ointment to sores.
- D. Create a list of foods that promote wound healing.
Correct Answer: A
Rationale: Pale, bluish feet with poor-healing sores suggest serious conditions like peripheral vascular disease, requiring a comprehensive healthcare provider evaluation.
A middle-aged client presents for an annual health visit at a community clinic. The client is 5 feet 10 inches (177.8 cm) tall, weighs 250 pounds (113.4 kg), and works as an accountant. The client has smoked at least one pack of cigarettes every day for the last 15 years. Which secondary prevention measure should the nurse recommend the client to follow?
- A. Smoking cessation.
- B. Compliance with antihypertensive and lipid lowering agents.
- C. Blood pressure and lipid screening.
- D. Increase physical activity and diet low in saturated fat.
Correct Answer: C
Rationale: Blood pressure and lipid screening are secondary prevention measures to detect cardiovascular issues early, critical for a smoker with obesity and high cardiovascular risk.
The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?
- A. Emphasize that using safe sex practices removes the risk of sexually transmitted Infections (STIs)
- B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse.
- C. Discuss that partners without similar symptoms may not be infected.
- D. Instruct the client on the importance of notifying sexual partners.
Correct Answer: D
Rationale: Notifying sexual partners is critical to prevent further spread of gonorrhea, ensuring they are tested and treated, as asymptomatic individuals can still transmit the infection.
The nurse is working with a Parent Teacher Organization (PTO) to increase safety for children walking to and from a nearby elementary school. Which action should the nurse include to help achieve this goal?
- A. Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels.
- B. Advise the residents to keep their porch lights on during hours that children are walking to and from school.
- C. Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood.
- D. Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times.
Correct Answer: C
Rationale: Designated safe houses provide a structured safety measure, offering refuge for children in emergencies, directly enhancing pedestrian safety.
A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?
- A. Provide the information for research purposes only.
- B. Ask the student to sign a standard waiver form.
- C. Obtain written authorization from clients to release the information.
- D. Ask if permission has been obtained from the research committee.
Correct Answer: C
Rationale: Obtaining client authorization ensures compliance with privacy laws like HIPAA, protecting client confidentiality.