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During a two-week postopera ve follow-up home visit, a female client who had gastric bypass
surgery exhibits abdominal tenderness, shoulder pain, and describes feelings of malaise. Her
vital signs are: temperature 101.8°F, blood pressure 100/50, heart rate 104 beats/minute, and
respira ons 18 breaths/minute. Which ac on should the nurse take?
a. Determine the client's current oxygen satura on rate.
b. Instruct the client to drive to the hospital for admission
c. Recheck the client's vital signs in 30 minutes
d. Have the client transported via ambulance to the hospital - Correct Answers d. Have the
client transported via ambulance to the hospital
An older man has become increasingly forge0ul, frequently eats large quan es of food from
refrigerator, and cannot remember when he takes his medica ons. He has limited mobility to
weight-related osteoarthri s in both knees. When assis ng the client's wife with a care plan for
the home, which interven ons should the nurse suggest? (Select all that apply.)
a. Request a referral for motorized wheelchair to assist with mobility.
b. Keep a variety of fresh fruits and vegetables that are easily accessible.
c. Put medica ons into a container that organized the pills by the day and me.
d. Encourage par cipa on in televised exercise classes to help strengthen muscles.
e. Post a sign on refrigerator reminding the client not to eat between meals. - Correct Answers
b. Keep a variety of fresh fruits and vegetables that are easily accessible.
c. Put medica ons into a container that organized the pills by the day and me.
d. Encourage par cipa on in televised exercise classes to help strengthen muscles.
, The school nurse is assessing heights, weights, and body mass indexed (BMI) of the students
who are entering high school. Because a majority of the students are found to be overweight,
the nurse plans to develop a program that addresses obesity in this age popula on. Before
ini a ng this program, what addi onal informa on is most important for the nurse to obtain?
a. The history of obesity educa on in the community
b. The level of parental concern regarding childhood obesity
c. The demographic data for the student popula on
d. An ac vity report from the physical educa on department - Correct Answers a. The history
of obesity educa on in the community
The epidemiological triad can be used to frame strategies for the preven on of farm machinery
injuries. Which ac on should the nurse take to focus on the agent?
a. Teach farm workers not to smoke around farm equipment
b. Work with legislators to mandate safe tractor design
c. Translate wri=en vehicle instruc ons into picture format
d. Provide rehabilita on services to injured farm hands - Correct Answers b. Work with
legislators to mandate safe tractor design
The public health nurse is crea ng a plan to increase state funding for a local health clinic.
Which strategy is likely to be most effec ve in obtaining funding for the clinic?
a. Run the health clinic economically and adver se the services the clinic provides
b. Organize concerned ci zens to write le=ers and telephone state representa ves
c. Described to the media the valuable services provided by the community clinic
d. Engage a professional lobbyist to persuade Congress of the local clinic's value - Correct
Answers d. Engage a professional lobbyist to persuade Congress of the local clinic's value
, The nurse is documen ng the medical history of a young adult male client who was recently
diagnosed with Type 1 diabetes mellitus (DM). He smokes 2 packs of cigare=es daily and his
father died of a heart a=ack at the age of 45. Which annual screening is most important for the
nurse include?
a. Peripheral neuropathy
b. Renal insufficiency
c. Re nography
d. Hyperlipidemia - Correct Answers d. Hyperlipidemia
The nurse provides teaching to a group of evacuees in a mass casualty center aBer a natural
flooding disaster. Which informa on should the nurse including in the teaching plan? (Select all
that apply.)
a. Wash all fruits and vegetables thoroughly in running tap water.
b. Iden fy all sexual contacts since the evacua on process
c. Take all doses of prophylac c prescrip ons for diarrhea
d. Clean hands using soap, clean water, or waterless an bacterial solu ons
e. Drink only boiled water or bo=led oral rehydra on solu ons - Correct Answers c. Take all
doses of prophylac c prescrip ons for diarrhea
d. Clean hands using soap, clean water, or waterless an bacterial solu ons
e. Drink only boiled water or bo=led oral rehydra on solu ons
A nurse is planning a nutri on class for a group of senior ci zens at a community center and
wants to emphasize the amount and types of fat in some foods versus others. What is the best
teaching method for the nurse to use?
, a. Display posters with foods and tell seniors about fat content
b. Determine foods most oBen eaten by this group and discuss the nutri onal panel of each
product
c. Show a movie about cooking with foods that are low in fat but delicious
d. Ask each senior to bring a food for others to taste, then es mate the fat contained in these
foods - Correct Answers b. Determine foods most oBen eaten by this group and discuss the
nutri onal panel of each product
An adult male who has diabetes is laid off from his job of 15 years where he had health care
benefits. By law, he is provided with Consolidated Omnibus Budget Reconcilia on Act (COBRA)
benefits. What is likely to be his greatest concern in planning for his health care during the next
year?
a. Paying for his health care
b. Obtaining quality medical care
c. Selec ng a primary care provider
d. Having required lab work completed - Correct Answers a. Paying for his health care
A prescrip on for discharge is wri=en for an elderly female client who has asked to be
discharged to her home. The client lives alone and is able to walk 10 to 15 feet with assistance.
What ac on should the nurse implement first?
a. Review the home medica on schedule with the client and family
b. Arrange for a bedside commode to be delivered to the home
c. Meet with the case manager to plan a home safety evalua on
d. Provide the client with informa on about medical alert devices - Correct Answers c. Meet
with the case manager to plan a home safety evalua on