A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.
The nurse is reviewing the patient’s data. Which data warrants follow-up?
The patient reports being teased by his friends for being “overweight.”.
The patient prefers solitary play situations.
The patient lives with his mother and younger brother in subsidized housing in an inner city setting.
The patient reports becoming easily short of breath.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.
Choice B rationale
Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.
Choice C rationale
Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.
Choice D rationale
The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.
Choice B rationale
Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.
Choice C rationale
Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.
Choice D rationale
Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Conducting interviews with community members is a crucial first step when evaluating a community's health promotion needs[^30^]³²³³³?. These interviews can provide valuable insights into the community's health concerns, behaviors, and needs. They can also help
identify barriers to health promotion and potential strategies for overcoming these
barriers[^30^]³²³³³?.
Choice B rationale
Organizing a health fair for the entire community can be a valuable health promotion strategy. However, it would not typically be the first step in evaluating a community's health promotion needs. Before organizing such an event, it would be important to understand the specific health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice C rationale
Forecasting future healthcare needs is an important aspect of health promotion planning. However, it would not typically be the first step in evaluating a community's health promotion needs. Before forecasting future needs, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice D rationale
Assessing the outcomes of previous projects can provide valuable insights for future health promotion efforts. However, it would not typically be the first step in evaluating a community's health promotion needs. Before assessing previous outcomes, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
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