NR 443/ATI RN Community Health Online Practice 2016 B,100% CORRECT
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NR 443
Institution
NR 443
NR 443/ATI RN Community Health Online Practice 2016 B
1. A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include?
Teach a client who has vision loss about safety in the home environment.
P...
nr 443ati rn community health online practice 2016 b
1 a public health nurse is developing a visual health program by using a community oriented approach which of the following interventions should
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NR 443/ATI RN Community Health Online Practice 2016 B
1. A public health nurse is developing a visual health program by using a community-
orientedapproach. Which of the following interventions should the nurse include?
Teach a client who has vision loss about safety in the home environment.
Provide genetic counseling to the family of a newborn who has congenital
cataracts. Consult with the local school nurse to schedule yearly vision
screenings for students-Develop a plan of care for a client who was newly
diagnosed with glaucoma.
Consulting with the local school nurse to schedule yearly vision screenings for students
focuses on the health care of a population rather than illness care for individuals. Therefore,
this intervention Is using a community-oriented approach. The other answers options are
community based approach.
2. A home health nurse is caring for a client who has a breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?Inability to concentrate
Makes eye contact
Excessive sleeping
Lack of interest in
food
3. A community health nurse is teaching a client who was newly diagnosed with active
pulmonarytuberculosis about disease transmission. Which of the following information
should the nurse include?
Household members should be places in respiratory
isolation.The client should use disposable utensils during
meals.
Household members should take isoniazid for 6-12 months
The client should have a repeat purified protein derivative test in 3 months.
Resp. isolation is not necessary for household memebers of a client who has active pulmonary
tuberculosis.
IT is not necessary for a client who has active pulmonary TB to use disposable utensils
duringmeals in the home setting.
Household memebers of a client who has active pulmonary TB are at risk for developing the
disease. Therefore, taking isoniazid prophylactically for 6-12 months is recommended.
A client who has active pulmonary tuberculosis should receive a chest x ray for future
screenings.
4. A case manager is developing a discharge plan for a client who has a spinal cord injury
and is inrehabilitation facility. Which of the following actions should the nurse take first?
, Hold a care conference w/ the client and his family to discuss tx
options. Contact service providers to determine the availability of
services offered.Determine the client's ability to perform self-care
Evaluate the client satisfaction with the case managers services.
First two options are implementation step of the nursing process. The 3rd options is to assess
theclient needs. Evaluate option is the evaluation step of the nursing process.
5. A community health nurse is working in a mobile health care clinic. Which of the
following clientsshould the nurse assess first?
A client who has a new onset of confusion and slurred speech
6. A public health nurse is developing a presentation for local day care providers about
infectiouschildhood diseases. Which of the following statements should the nurse
include?
, "RSV is spread through contact with respiratory secretions from an infected
person."“rotavirus infections in children peal during the summer months.”
“Children who have 5th disease will exhibit bloody
diarrhea.” Antiviral medications shorten the duration of a
shigella infection.”
The nurse should include this statement in the presentation, as RSV is
spread by direct contact w/ respiratory secretions while within 3 feet of a
person whois infected. Manifestations of RSV include dyspnea, tachypnea,
coughing, and wheezing.
Rotavirus infection in children peak during winter months of the year.
Manifestations of rotavirus include fever and vomiting followed by watery
diarrhea.
The clinical manifestation of 5th disease (erythema infectiosum) do not
incluebloody diarrhea. Clinical manifestations include rash that gives the
client a slapped-faced appearance that progresses from the face down to
the body.
Other manifestations include fever, myalgia, N/V, and lethargy.
Antibiotics shorten the length of a shigella infection and decrease mortality
rates. Manifestation of shigella include fever and anorexia followed by
wateryor bloody diarrhea.
7. A nurse in a rural community is planning education for a young adult client who is a
migrant farmworker. Which of the following actions should the nurse include? (Select all
that apply)
- Provide environmental health
- Refer client for TB screening
- Provide skin cancer information
- Recommend a dental health screening
-Provide forms to apply for medicare
Medicare are individuals must meet age requirement or be permanently
disabled.
Migrant FW are at risk exposure to pesticides and other hazardous
materialsthat could be harmful. Thereofre should include environmental
health information in the client’s education.
Rate of TB are estimated higher amoing migrant workers due to crowded
living conditions and substandard housing. Therefore, the nurse should
include a tuberculosis screening in the clients education.
Dental problems are primary health risk for migrant FW.
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