Which annual screening should the nurse include when planning eye health programs at a preschool?
- A. visual acuity
- B. red light reflex
- C. conjunctivitis
- D. glaucoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During a follow-up visit, a client with hypertension reports that they often forget to take their medication. What should the nurse do first?
- A. educate the client on the importance of medication adherence
- B. explore the reasons for the client's forgetfulness
- C. provide the client with a pill organizer
- D. adjust the client's medication schedule
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with diabetic ketoacidosis (DKA). Which laboratory result requires immediate intervention?
- A. Blood glucose of 250 mg/dL.
- B. Serum potassium of 3.5 mEq/L.
- C. Serum sodium of 135 mEq/L.
- D. Arterial blood pH of 7.30.
Correct Answer: D
Rationale: Corrected Rationale: An arterial blood pH of 7.30 indicates the client is in acidosis, which is a life-threatening condition in DKA. Immediate intervention is required to correct the acidosis and prevent further complications such as organ failure or coma. Blood glucose of 250 mg/dL is elevated but not an immediate threat to life in comparison to acidosis. Serum potassium of 3.5 mEq/L and serum sodium of 135 mEq/L are within normal ranges and do not warrant immediate intervention in the context of DKA.
The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?
- A. uncertain risks
- B. potential outcomes
- C. priority of solutions
- D. target population data -
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a home health visit the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
- A. demonstrate proper foot care to client and family
- B. have a home health aide assist client with hygiene weekly
- C. schedule an appointment for the client with podiatrist
- D. trim the clients toenails gradually over several visits
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The communi ty health nurse is planning a series of educational courses about the heal thcare system and meeti ng heal thcare needs for t he community center. Which adjunct issue shoul d the nurs e address for a group of ol der adul ts.
- A. peer concerns
- B. adul t daycare
- C. reti rement i ssues
- D. vocati onal concerns -
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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