A community health nurse is preparing a health promotion presentation for a group of older adults. Which of the following recommendations should the nurse include? (Select all that apply.)

Maintain a BMI between 28 and 32.

Participate in weight-bearing exercises.

Complete a lead poisoning screening every two years

Receive an influenza vaccine every year.

Limit alcohol to no more than one drink per day or four per week

Answer and Explanation

Correct Answer : B,D,E

A. Maintain a BMI between 28 and 32: A healthy BMI range is typically 18.5 to 24.9. A BMI of 28–32 is considered overweight or obese, which increases the risk for cardiovascular disease, diabetes, and joint problems. Therefore, this is not a recommended target for older adults.

B. Participate in weight-bearing exercises: Weight-bearing activities, such as walking or light strength training, help maintain bone density and prevent osteoporosis. They also support mobility, balance, and cardiovascular health in older adults.

C. Complete a lead poisoning screening every two years: Lead screening is generally targeted toward children or adults at occupational risk. Routine screening for lead poisoning is not recommended for older adults unless specific exposure risk is identified.

D. Receive an influenza vaccine every year: Yearly influenza vaccination is recommended for older adults due to their increased risk of complications from flu infections. It is a key component of preventive care.

E. Limit alcohol to no more than one drink per day or four per week: Older adults metabolize alcohol differently and are more sensitive to its effects. Limiting intake as recommended reduces the risk of falls, liver damage, and interactions with medications.

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Correct Answer is D

Explanation

A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.

B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.

C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.

D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.

A. Client 1 B. Client 2 C. Client 3 D. Client 4 E. Client 5

Correct Answer is ["A","B","D","E"]

Explanation

Client 1: Streptococcus pyogenes (Group A Streptococcus) infections, especially with symptoms suggestive of pharyngitis, are reportable to public health authorities due to their potential to cause outbreaks and complications such as rheumatic fever. National notification helps in tracking and controlling the spread.
Client 2: Elevated blood lead levels in children are a significant public health concern and require mandatory reporting for environmental intervention and follow-up. Lead poisoning can cause serious developmental problems, so this case must be reported.
Client 3: Herpes zoster (shingles) is not a nationally notifiable condition. Although it is contagious to individuals who have not had varicella or the vaccine, it does not require public health notification.
Client 4: Tuberculosis is a highly contagious and serious infectious disease that is nationally notifiable. Positive tuberculin skin test results combined with symptoms consistent with active disease require reporting for public health surveillance and intervention.
Client 5: Chlamydia is a common sexually transmitted infection that is nationally notifiable. Reporting allows for partner notification, treatment, and prevention of further transmission, even if the client is asymptomatic.

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A community health nurse is preparing a health promotion presentation for a group of older adults. Which of the following recommendations should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mobile health clinic is caring for a client who requires an immunization and does not speak the same language as the nurse. Which the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the having conditions that require national notification? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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