Terms in this set (140)
The mother is breastfeeding the infant.
A 2-month-old infant contracts a disease through
vertical transmission. Which situation should the
nurse investigate further to ascertain how the infant
might have been exposed to the disease?
Rationale:Vertical transmission refers to the
transmission of a disease from the mother to the
infant during pregnancy, childbirth, or breastfeeding.
Diseases such as HIV, hepatitis B, and syphilis can
be transmitted vertically. In this case, the nurse
should investigate whether the mother’s health
status (e.g., having a chronic infection) could affect
the infant during breastfeeding.
Proximity of the facility to their home
A 4-year old near drowning victim who is severely
disabled due to anoxia that occurred during the
incident is being transferred to a long term care
facility. When helping the parents select a treatment
center for their child, which factor should the nurse
encourage the parents to consider?
Proximity of the facility to their home
How many children are residents of the facility
What type of home schooling is available at the
facility
Availability of medical care for emergencies
, b. hepatitis B
A 16-year old female client returns to the clinic
because she is pregnant for the third time by a new
boyfriend. Which vaccine should the nurse plan to
administer?
a. MMR
b. Hepatitis B
c. Human papillomavirus
d. Pneumococcal
a. age
c. drug addiction
d. history of abuse
e. pregnancy
A 17-year old unmarried, pregnant client with drug f. homelessness
addiction is a high school dropout, homeless, and has
a history of past abuse arrives at the clinic for her first
prenatal visit. Which findings should the nurse
document as health risk factors for the client? (Select
all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried
, Primary prevention, which would include education on safe sex practices.
A 23-year-old single mother of three visits the
Department of Health walk-in clinic with symptoms
of abdominal pain, painful urination, fever, and
vaginal discharge. She states that these symptoms
began three days ago and she initially thought it was a
urinary tract infection (UTI) until the vaginal
discharge became purulent and bloody. She reports
having three sexual partners over the past 60 days.
She has visited the clinic three times in the past 12
months for similar concerns, but no sexually
transmitted infections were diagnosed on those three
prior visits. Given the history of clinic visits over the
past 12 months with similar concerns, the nurse
determines that client education should focus on
prevention. What type of preventive education should
the nurse identify for this client?Rationale:In this
case, primary prevention is the most appropriate type
of preventive education for the client. Primary
prevention i
Anthrax. Diphtheria.Tuberculosis
According to the Centers for Disease Control and
Prevention, which diseases are reportable infectious
diseases? Select all that apply.
Encourage smoking cessation.Offer nutritional instruction. Refer for prenatal care.
An adolescent tells the school nurse that she is
pregnant. Her last menstrual period was 4 months
ago, and she has not yet received any medical care.
She smokes but denies any other substance use.
Which interventions should the nurse implement?
(Select all that apply.)
, Avoid adding salt to foods when cooking or at the table
Try to eat at least six small meals daily
Choose small helping of lean protein such as legumes
An adult male client with recurrent ascites from
cirrhosis tells the home health nurse that he has no
appetite or energy. The nurse should provide what
diet suggestions for this client. Select all that apply
Eat concentrated sweets for a quick energy boost
Avoid adding salt to foods when cooking or at the
table
Try to eat at least six small meals daily
Limit helpings of fresh fruits and vegetables
Choose small helping of lean protein such as legumes
The mother is breastfeeding the infant.
A 2-month-old infant contracts a disease through
vertical transmission. Which situation should the
nurse investigate further to ascertain how the infant
might have been exposed to the disease?
Rationale:Vertical transmission refers to the
transmission of a disease from the mother to the
infant during pregnancy, childbirth, or breastfeeding.
Diseases such as HIV, hepatitis B, and syphilis can
be transmitted vertically. In this case, the nurse
should investigate whether the mother’s health
status (e.g., having a chronic infection) could affect
the infant during breastfeeding.
Proximity of the facility to their home
A 4-year old near drowning victim who is severely
disabled due to anoxia that occurred during the
incident is being transferred to a long term care
facility. When helping the parents select a treatment
center for their child, which factor should the nurse
encourage the parents to consider?
Proximity of the facility to their home
How many children are residents of the facility
What type of home schooling is available at the
facility
Availability of medical care for emergencies
, b. hepatitis B
A 16-year old female client returns to the clinic
because she is pregnant for the third time by a new
boyfriend. Which vaccine should the nurse plan to
administer?
a. MMR
b. Hepatitis B
c. Human papillomavirus
d. Pneumococcal
a. age
c. drug addiction
d. history of abuse
e. pregnancy
A 17-year old unmarried, pregnant client with drug f. homelessness
addiction is a high school dropout, homeless, and has
a history of past abuse arrives at the clinic for her first
prenatal visit. Which findings should the nurse
document as health risk factors for the client? (Select
all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried
, Primary prevention, which would include education on safe sex practices.
A 23-year-old single mother of three visits the
Department of Health walk-in clinic with symptoms
of abdominal pain, painful urination, fever, and
vaginal discharge. She states that these symptoms
began three days ago and she initially thought it was a
urinary tract infection (UTI) until the vaginal
discharge became purulent and bloody. She reports
having three sexual partners over the past 60 days.
She has visited the clinic three times in the past 12
months for similar concerns, but no sexually
transmitted infections were diagnosed on those three
prior visits. Given the history of clinic visits over the
past 12 months with similar concerns, the nurse
determines that client education should focus on
prevention. What type of preventive education should
the nurse identify for this client?Rationale:In this
case, primary prevention is the most appropriate type
of preventive education for the client. Primary
prevention i
Anthrax. Diphtheria.Tuberculosis
According to the Centers for Disease Control and
Prevention, which diseases are reportable infectious
diseases? Select all that apply.
Encourage smoking cessation.Offer nutritional instruction. Refer for prenatal care.
An adolescent tells the school nurse that she is
pregnant. Her last menstrual period was 4 months
ago, and she has not yet received any medical care.
She smokes but denies any other substance use.
Which interventions should the nurse implement?
(Select all that apply.)
, Avoid adding salt to foods when cooking or at the table
Try to eat at least six small meals daily
Choose small helping of lean protein such as legumes
An adult male client with recurrent ascites from
cirrhosis tells the home health nurse that he has no
appetite or energy. The nurse should provide what
diet suggestions for this client. Select all that apply
Eat concentrated sweets for a quick energy boost
Avoid adding salt to foods when cooking or at the
table
Try to eat at least six small meals daily
Limit helpings of fresh fruits and vegetables
Choose small helping of lean protein such as legumes
