Nokea
While screening all children in the third grade for head lice, the school nurse observes that one girl has a brownish thickening on her neck. Which action should the nurse take in response to this finding?
- A. review the child's medical folder for a list of allergies
- B. instruct the child's parents to begin treatment with
- C. advise the children's parents to obtain a medical evaluation of the child
- D. none of the above
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is preparing to administer a scheduled dose of digoxin (Lanoxin) to a client. Which assessment finding should the nurse report to the healthcare provider?
- A. Heart rate of 90 beats per minute.
- B. Serum potassium level of 4.0 mEq/L.
- C. Blood pressure of 130/80 mm Hg.
- D. Client reports seeing halos around lights.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare professional is developing a community health program to address the high rates of childhood asthma in a neighborhood. Which intervention should the healthcare professional prioritize?
- A. conducting home visits to identify asthma triggers
- B. distributing asthma education materials at schools
- C. holding workshops on asthma management for parents
- D. partnering with local healthcare providers to offer free asthma screenings
Correct Answer: A
Rationale: The healthcare professional should prioritize conducting home visits to identify asthma triggers as it is crucial for reducing asthma attacks in children. By identifying triggers in the home environment, interventions can be implemented to create a safer living space for children with asthma. Distributing asthma education materials at schools may be helpful, but addressing triggers at the source is more direct and impactful. Holding workshops on asthma management for parents is valuable, but identifying triggers should come first to prevent asthma exacerbations. Partnering with local healthcare providers to offer free asthma screenings focuses on detection rather than prevention through trigger identification.
Which intervention by the community health nurse is an example of a secondary level of prevention?
- A. providing a needle exchange program at a community mental health clinic
- B. developing an educational program for clients with diabetes mellitus
- C. administering influenza vaccines to residents of a nursing home
- D. initiating contact notifications for sexual partners of an HIV client
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?
- A. Hold the medication.
- B. Call the healthcare provider.
- C. Administer the medication.
- D. Check the blood pressure.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma?
- A. Pindolol (Visken)
- B. Carteolol (Ocupress)
- C. Metoprolol tartrate (Lopressor)
- D. Propranolol hydrochloride (Inderal)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.