A.) “I can consume up to 25% of my daily calories from saturate fatty acids.
B.) “I should consume less than 300mg / day of dietary cholesterol.
C.) “I can increase my daily consumption of foods that contain refined grains.”
D.) “I should consume 800mg / day of dietary calcium.”
The nurse should instruct the students to consume less than 300mg/day of dietary cholesterol. High levels puts them at risk for CVD.
A.) Notify the local lay enforcement agency of the client’s situation
B.) initiate a referral to the facility’s social worker.
C.) Ask the client why he did not seek shelter sooner.
D.) Tell the client everything will work out now that he is in the hospital.
The social worker can assist him with finding housing.
A.) “I’m looking forward to my daughter’s wedding next year.”
B.) “I don’t deserve to die. This just isn’t fair.”
C.) If I could just make it through this, i’d never smoke again.”
D.) “I’m going to plan my memorial service next week.”
During the denial stage of the grief process, the client rejects the reality of the impending loss.
A.) “I will use a dry-sanding technique when preparing to repaint my front door.”
B.) “I will vacuum our wood floors every week.”
C.) I will increase the amount of red meat and milk in my child’s diet.”
D.) “I will use hot tap water to prepare my baby’s formula.”
Children should receive adequate amounts of iron and calcium in their diets to prevent lead absorption from their environment
A.) Instruct the parent to keep the child at home until the coughing stage has passed
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.
B.)Encourage family members to obtain prophylactic treatment
E.) Check the immunization status of the child’s classmates.
A.) Attempting to end the relationship
B.) Lacking supportive friends outside the relationship
C.) Having health issues that limit independence
D.) Taking antianxiety or sedative medications
Clients who are in a relationship with a potential or actual abuser heighten their risk for intimate partner abuse when they attempt to leave the relationship.
A.) Make the hospice referral in accordance with the client’s decision
B.) Verify that the client’s health insurance pays for hospice services
C.) Recommend a second opinion from another provider
D.) Assess whether or not the family agrees with the client’s decision
The nurse should follow the ethical principle or respect for client autonomy and make the hospice referral for the client.
A.) Drink at least 450mL (16oz) of liquid with each meal
B.) Avoid foods that contain eggs
C.) Lie flat for 15 to 30 mins after eating
D.) Use milk instead of water when making canned soup
The client should use milk when preparing canned soup to increase his intake of protein and calories.
A.) Minority populations may be at greater risk for abuse.
B.) Intimate partner abuse occurs more frequently in lower socioeconomic households
C.) Child abuse is more common in homes where intimate partner abuse is present
D.) Children who are abused are less likely to become abusers
Child abuse is very common in homes where intimate partner abuse is present.
A.) Creating a public service announcement about the warning signs of intimate partner abuse
B.) Recognizing and reporting suspected abuse to the appropriate protective services
C.) Collaborating with support agencies to ensure the ongoing treatment for abuse
D.) Educating individuals and groups about preventing domestic and community abuse
Secondary prevention is an intervention that focuses on early detection of a health problem to facilitate early diagnosis and treatment. Recognizing and reporting suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse.
A.) Teaching foot care to adults who have diabetes mellitus
B.) Testing school-age children for lead exposure
C.) Providing tuberculosis screenings for day care providers
D.) Teaching meal planning classes to older adults
Only D is primary prevention. A is tertiary prevention, and B & C and secondary prevention.
A.) Wear gloves
B.) Wear a gown
C.) Use disposable equipment
D.) Use an N95 respiratory
A client who has active TB require airborne precautions to prevent the spread of droplet nuclei smaller than 5 microns. The nurse should wear an N95 respiratory when administering medication to prevent transmission of the infection.
A.) Report the infection to the state health department
B.) Instruct the client to return for a blood test in 1 month.
C.) Administer ceftriaxone 250mg IM.
D.) Teach the client how to applyimiquimod 5% cream to the lesions.
The client can self-treat the lesions using topical imiquimod 5% cream to the lesions at bedtime for up to 16 weeks.
A.) Social organization
B.) Cultural imposition
Ethnocentrism occurs when people view the world form the perspective of their own cultural background and viewpoint.
A.) Individuals should receive an annual influenza vaccine to minimize the risk of infection with pertussis.
B.) Newborns should receive the first dose of the diptheria, tetanus, and aceullular pertussis (DTaP) vaccine prior to discharge from the hospital
C.) Individuals who have had pertussis do not require immunization
D.) Individuals transmit the pertussis bacterial through airborne droplets
Transmission occurs when an individual who has an infection with Bordetella pertussis coughs and expels droplets smaller than 5 microns
A.) Place a cup of steam against the skin to draw out toxins from the body
B.) Applies cool compresses across the body to reduce fever
C.) Avoids eating diary and meat products during the same meal
D.) Visits a shaman to seek healing from illness
A vacuum seal is created as the steam cools. When the cup is removed, it is believed that toxins are drawn out from the body
A.) “You should ask the public health department”
B.) Do you have questions about tuberculosis?”
C.) “Have you ever been tested for tuberculosis?”
D.) “You should take precautions against this infection.”
This response addresses the neighbor’s concerns while protecting the client’s confidentiality
A.) Underage smoking
B.) Safer sex practices
C.) Safety belt use
D.) Heart-healthy diet
Automobile crashes are currently the leading cause of death among adolescents. Therefore, this topic is most important to discuss.
A.) Lives alone
B.) Taking outdated prescriptions
C.) Has a BMI of 25
D.) Presence of alcohol in the home
The client taking outdated prescriptions is an example of inadequate medical care and is an indicator of possible neglect.
A.) A client who has a superficial burns to 10% of the abdomen
B.) A client who has tracheal deviation and shortness of breath
C.) A client who has agonal respirations and an open head injury
D.) A client who has a fracture of the humerus and a bleeding foot laceration
A client who has tracheal deviation and shortness of breath most likely has a pneumothorax and requires immediate intervention for survival.
A.) Health surveys
B.) Medical records
C.) Informant interviews
D.) Morbidity / Mortality Statistics
Informant interviews of the community’s leaders will provide direct data. This information can help the nurse identify services needed by the community.
A family genogram tracks the incidence of disease over multiple generations of a family and will identify biological risk factors.
A.) Gastric ulcerations
B.) Orthostatic hypotension
D.) Urinary retention
Daily use of NSAIDs, such as ibuprofen, increases the risk of gastric ulceration, perforation, and hemorrhage
A.) Advise the women to keep their immunizations updated.
B.) Encourage the women to participate in weight-bearing activities
C.) Educate the women about the importance of limiting sun exposure
D.) Instruct at-risk women to increase their intake of foods high in vitamin E.
Weight-bearing exercises, such as weight lifting, walking, and running, have been found to be beneficial in preventing osteoporosis.
A.) Tell the client to take naltrexone daily
B.) Instruct the client to take buprenophine for the next 9 to 12 months
C.) Teach the client to avoid foods the contain tyramine
D.) Schedule transcranial magnetic stimulation (TMS) biweekly
The nurse should instruct the client to take naltrexone daily to decrease her cravings for alcohol. Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse.
A.) Inform the provider of the client’s descision
B.) Determine the client’s reason for discontinuing the medication
C.) Discuss the consequences of discontinuing the medication with the client
D.) Provide the client with an educational pamphlet about the medication
The first step the nurse should take is to assess the client. By determining the client’s reason for discontinuing the medication, the nurse can promote adherence to treatment.
A.) Withdrawal from social activities
B.) Forgetting the location of common objects
C.) Experiencing incontinence
D.) Neglecting personal hygiene
This is an early manifestation. All other choices are later manifestations of Alzheimer’s disease.
A.) Alcoholics Anonymous (AA) is a support group that requires disclosure of attendance to employers
B.) Narcotics Anonymous (NA) is a on-on-one program that assists clients
C.) Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program
D.) Narcotics Anonymous (NA) will cure a client from her substance use disorder if she stays involved with the program.
AA is a support group that will assist a client who has an addiction to alcohol and other substances with developing a daily recovery program using a 12-step approach. AA’s primary purpose is to help the client obtain and maintain sobriety.
A.) “Why haven’t you brought in your newspapers?”
B.) “Do you need help completing your housework?”
C.) “How often do you have visitors come to see you?”
D.) “Have you considered moving to an assisted living facility?”
The nurse should ask this question because it addresses the issue of social isolation by determining the frequency of contact between the client and others.
A.) Instruct the employee to prepare a list of close personal contacts
B.) Initiate an employee immunization program
C.) Instruct the employee to wear an N95 respiratory mask
D.) Administer prophylactic penicillin to other employees
The nurse should report the name of an employee who has a positive Mantoux tuberculin test to the health department. The health department will follow up with the employee so that close personal contacts can be notified of the potential of exposure
A.) Consume a low-carbohydrate diet until symptoms resolve
B.) Schedule an appointment for an immunoglobulin injection
C.) Abstain from sexual intercourse until antibody tests are negative
D.) Wear a mask in public places while receiving treatment
Hep C is transmitted through sexual intercourse. Therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests are negative.
Ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that ginkgo biloba may alter the effects of warfarin.
A.) Focus groups
B.) Written audits
C.) Satisfaction survey
E.) Values self-study
B.) Written audits
C.) Satisfaction survey
A.) “I should get an annual immunization to prevent Lyme disease.”
B.) “I can take penicillin for 10 to 14 days to manage Lyme disease.”
C.) “I can get Lyme disease from a mosquito bite.”
D.) “I will have abdominal pain and diarrhea if I get Lyme disease.”
A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to 14 ddays of penicillin or tetracycline therapy.
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
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.
A.) The client recently married the father of her unborn baby
B.) The client works part-time at a local restaurant
C.) The client has changed providers three times during her pregnancy
D.) The client has recurring nightmares about her unborn baby
Frequently changing health care providers is a warning sign for potential future child abuse because it can indicate that the client is in an abusive relationship and is attempting to hide it from her provider.
A.) Identify community members who demonstrate an interest in the project
B.) Hold a community information session to inform the residents of the plan
C.) Select residents to take on leadership roles in the project
D.) Monitor the progress of the project to keep the project on course
The first action the nurse should take when using the nursing process is to assess the community. The nurse can establish a local support group who will assist in engaging other community residents with establishing the garden.
A.) Recommend that the adolescent meet with the school guidance counselor to discuss educational options
B.) Request permission to interview the father of the child to obtain a medical history
C.) Help the client obtain a provider for prenatal care
D.) Provide information on parenting classes so the client can learn about caring for a newborn
The client is experiencing an unplanned pregnancy, which are factors that place the client at risk for complications. Therefore, the first action the nurse should take is to assist the client in obtaining prenatal care.
B.) Erythema infectiosum
C.) Scarlet fever
D.) Molluscum contagiosum
The nurse should recognize that varicella is included on the NNIC list. States voluntarily conduct surveillance and report instances of certain disease to the CDC so the data can be compiled and released each year.
A.) Herpes zoster
The nurse should include that a client who is pregnant should receive the Tdap vaccine between 27 and 36 weeks gestation.
A.) The faith community nurse can provide pharmacological pain management for clients who have a terminal illness
B.) The faith community nurse can plan workplace safety training for employees in a local factory
C.) The faith community nurse can provide wound care for clients in their homes
D.) The faith community nurse can facilitate substance abuse support groups
This is one of the roles of a faith community nurse.
The other skills are as followed: Hospice nurse,
Occupational health nurse,
and wound care nurse.
A.) “You will be able to access my mother’s hospital medical records for us to review.”
B.) “You will be able to give my mother pain medication.”
C.) “You can submit invoices to Medicare to reimburse you for your services.”
D.) “You will coordinate with volunteers who will come to help my mother.”
A faith community nurse can assist with receiving services from various volunteers within the client’s spiritual community to provide additional support and comfort to the client during the dying process.
A.) Program content is organized topically
B.) Pamphlets are written at a 12th-grade level
C.) The presentation is delivered via a computer slide presentation
D.) Attendance at the program is voluntary
The nurse should identify that the pamphlets written at a 12th-grade reading level requires a change. The AMA and the NIH recommend written materials are written at a 6th-grade level or lower.
B.) Maculopapular rash on palms
Chancre is a clinical manifestation of primary syphilis.
All the others are symptoms are clinical manifestations of secondary syphilis.
A.) Coordinate an immunization clinic at the school
B.) Recommend prophylactic treatment for classmates
C.) Report the cases of MRSA to child protective services
D.) Provide education about MRSA throughout the school system
Appropriate hand hygeine and self-care will help prevent the spread of MRSA
A.) Immunization status
B.) Sexual activity
C.) Illness practices
D.) Food allergies
A cultural assessment focuses on beliefs, values, meanings, and behavior of people within a client’s cultural, ethnic, or religious group. This includes culturally-based practices that relate to health and illness.
A.) Ask the child to pretend to blow up a balloon during the injection
B.) Reassure the child that the injection is not going to hurt
C.) Ask the child’s parent to leave the room during the injection
D.) Request that the child count backwards from the number 10 during the injection
The nurse should ask the child to pretend to blow up a balloon during the injection. This serves as a distraction for the child, which decreases pain perception.
A.) The leadership support of the community
B.) The accessibility of residences
C.) The availability of volunteers
D.) The need for the program
Using the urgent vs. nonurgent approach to client care, the nurse should first assess the need for the mobile meals program. This action allows the nurse to collect data on the client, which is the community, and meets the first step of program planning. The needs of teh community will determine all other steps of the planning process.
A.) Contact precautions
B.) Droplet precautions
C.) Airborne precautions
D.) Protective environment
The nurse should instruct the family to implement contact precautions which providing care for a client who has C. difficile. Contact precautions eliminate the exposure to contaminated body fluids and items.
A.) “I have a prescription bottle magnifier to help me read my pill bottle labels.”
B.) “I canceled all of my magazine prescriptions since I can’t read them.”
C.) “I purchased green towels to use in my bathroom.”
D.) “I have learned that I cannot go outside when the sun is bright”
The client can obtain a prescription bottle magnifier, or other low-vision optical devices, to assist him in his ability to read the labels on his prescriptions and remain independent.