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When assessing a community's health promotion needs, which action should the nurse take first?
- A. Evaluate previous project outcomes.
- B. Interview community members.
- C. Project future health care requirements.
- D. Schedule a community-wide health fair.
Correct Answer: B
Rationale: Interviewing community members identifies current health promotion needs and priorities, ensuring interventions are relevant and effective.
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Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?
- A. Provide dorm teaching sessions about the need to finish prescribed antibiotic doses.
- B. Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living.
- C. Require documentation from incoming freshmen that Haemphilus influenza type b (Hib) vaccinations are current.
- D. Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors.
Correct Answer: B
Rationale: The meningococcal vaccine is the most effective measure to prevent meningococcal meningitis in high-risk dorm settings.
A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?
- A. Explain to the client results should be read between 48 and 72 hours.
- B. Identify how the client will follow up to have the results read.
- C. Determine if the client understands the purpose of the tuberculin test.
- D. Give the client written Information about the tuberculosis test.
Correct Answer: B
Rationale: Ensuring follow-up for TB test reading is critical, especially for a homeless client, to confirm diagnosis and prevent missed results.
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. Fasting blood glucose average readings were 20% lower at the end of the classes.
- B. Discussion of food exchanges and calories was a well-attended class.
- C. Demonstrating the use of a blood glucose meter was an effective teaching strategy.
- D. Parking convenience for attendees continued to be a major concern.
Correct Answer: A
Rationale: Lower fasting blood glucose readings directly indicate improved diabetes management, reflecting the classes' effectiveness.
A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?
- A. Women, Infant, and Children program.
- B. Consolidated Omnibus Budget Reconciliation Act provisions.
- C. Medicare.
- D. Medicaid.
Correct Answer: C
Rationale: Medicare is the federal health insurance program for those 65 and older, making it the most suitable for a 66-year-old retiree's insurance needs.
The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?
- A. Diabetes mellitus.
- B. Hypothyroidism.
- C. English proficiency.
- D. Iron deficiency anemia.
Correct Answer: A
Rationale: Overweight Hispanic children are at high risk for type 2 diabetes, making diabetes screening a priority to detect and manage this condition early, given its increasing prevalence in this population.