ATI Community Practice B

ATI Community Practice B A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? (Select all that apply.) A. Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. B. Encourage family members to obtain prophylactic treatment. C. Quarantine the children in the child's class. D. Recommend that the child receive a pneumococcal vaccine in 28 days. E. Check the immunization status of the child's classmates. - ANSWER A. Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. B. Encourage family members to obtain prophylactic treatment. E. Check the immunization status of the child's classmates. A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? A. The case manager used a computer at the agency with an automatic sign-off mechanism. B. The case manager left a clipboard with the client's prescription information face up on the office desk. C. The case manager sent a fax to the equipment company on a machine using programmed speed dial. D. The case manager shared the client's name with the equipment company. - ANSWER B. The case manager left a clipboard with the client's prescription information face up on the office desk. When using a clipboard, the case manager should place the clipboard on the desk face down so that a client's personal health information is not visible to other individuals. A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? A. Provide education about risk factors for hypertension. B. Conduct a hypertension screening clinic for the community. C. Teach clients who have a family history of hypertension how to monitor blood pressure. D. Implement an exercise program for clients who have hypertension. - ANSWER D. Implement an exercise program for clients who have hypertension. The nurse should implement tertiary prevention strategies for clients who have hypertension to promote the highest level of functioning possible, which can include regular exercise to maintain an active lifestyle.