Complete Solutions
A 40-year-old patient is diagnosed with colon cancer. While
interacting with the patient, the nurse learns that he has a twin
brother. Which nursing actions are appropriate for the patient's
brother? Select all that apply. Correct Answers Motivate the
patient's brother to get a colonoscopy
Encourage the patient's brother to get an annual stool test.
A 46-year-old woman has difficulty walking due to osteoporosis
and rheumatoid arthritis. The woman takes calcium tablets
prescribed by her primary health care provider. She also uses a
special herbal oil advertised on television for guaranteed cure of
rheumatoid arthritis. What interventions would be helpful for the
patient? Correct Answers tell her about medical appliances for
safe walking
A 47-year-old patient has arrived at the clinic after accidentally
cutting his forearm with a pair of scissors. Which clinical
manifestations would the nurse expect to indicate a local
inflammation? Select all that apply. Correct Answers swelling,
redness, and pain
A 65-year-old patient is undergoing treatment for chronic
bronchitis and develops a health care-associated exogenous
infection. What could be the reason for this condition? Correct
Answers Infection caused by Aspergillus-
Exogenous infections are caused by microorganisms found
outside the individual such as Aspergillus, Salmonella and
Clostridium tetani. Therefore, a patient infected with Aspergillus
,is considered to have an exogenous infection. Endogenous
infections are caused by organisms such as Streptococci or
Enterococci. Infections caused by a bronchoscopy or the
administration of broad spectrum antibiotics are iatrogenic
infections
A community health nurse is assessing the population of a
specific community. She wants to identify people who are at risk
of health problems. Which individual is a member of a
vulnerable group? Correct Answers an elderly, homeless
immigrant
A community health nurse is explaining the levels of health care
to a group of patients. Which service is included in primary
health care? Correct Answers family planning
A community health nurse understands that heat stroke is more
common among certain professionals. Which professionals are
at a higher risk for having a heat stroke? Select all that apply.
Correct Answers athletes, farmers, construction workers
A community nurse is scheduled to give vaccines to a group of
individuals belonging to a particular village. These people tell
the nurse that they are willing to take the vaccines only in the
presence of the pastor of their church, who has gone to another
village and will return in a day. In compliance with Leininger's
theory, what should the nurse do? Correct Answers Listen to
the villagers and give them the vaccines on the next day in the
presence of the pastor.
,A community-based nurse encounters a college student addicted
to cocaine. What are the various assessments that the nurse must
perform to assist this student? Select all that apply. Correct
Answers assess the frequency of abuse
assess the nature of use
assess the amount of consumption
A community-based nurse notices increased prevalence of
pertussis infection in children. What is the preventive care
service that the nurse may implement to address this problem?
Correct Answers provisions of effective immunizations
a couple approaches the nurse to seek guidance regarding taking
their 10-year-old child on a long ride in a car. During the
discussion, the nurse learns that the car has front-seat passenger
air bags. What advice should the nurse provide to this couple?
Correct Answers advise that the child ride in the backseat-
carseat required for children <8 or 80 lbs or less
A couple is with their adolescent daughter for a school physical
and state that they are worried about all the safety risks affecting
this age. What are the greatest risks for injury for an adolescent?
Correct Answers Automobile accidents, suicide, and substance
abuse
A group of nurses on the research council of a local hospital are
measuring nursing-sensitive outcomes. Which is a nursing-
sensitive outcome that the nurses should consider measuring?
Correct Answers Number of patients who fall and experience
subsequent injury on the evening shift
, A group of nursing personnel plan to take an unstable and weak
patient out of a tub. Which equipment is beneficial in this
situation? Correct Answers lift equipment
A group of researchers is conducting research on diabetic
patients based on Orem's theory. What is the most probable
topic of research? Correct Answers self administration of
insulin
Orem's theory focuses on the patient's self-care needs
A licensed practical nurse is preparing to assist in a sterile
procedure. Which nursing action is appropriate in surgical hand
asepsis? Correct Answers scrubbing the hands for 5 minutes
A nurse instructs a patient to assume the lithotomy position. For
what does the nurse plan to assess? Correct Answers genitalia
and genitalia tract
A nurse instructs a patient to color code the hot water faucets
and dials. What might be the possible age group of the patient?
Correct Answers older adult
A nurse is caring for four patients in an intensive care unit.
Which patient should be bathed twice a week? Correct Answers
an older adult patient with dry skin
A nurse is examining a patient's skin using palpation. Which
action made by the nurse needs correction? Correct Answers
Checking the patient's skin turgor and elasticity by using finger
pad