A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

Explain to the client results should be read between 48 and 72 hours.

Identify how the client will follow up to have the results read.

Determine if the client understands the purpose of the tuberculin test.

Give the client written Information about the tuberculosis test.

Answer and Explanation

The Correct Answer is B

A) Explain to the client results should be read between 48 and 72 hours:
While it is important for the client to know when the results should be read, this step is secondary to ensuring the client has a plan for follow-up. Knowing the timeline for reading the results alone does not guarantee that the client will actually return to have the test read.

B) Identify how the client will follow up to have the results read
Ensuring that the client has a clear plan for follow-up is the most crucial intervention. For a homeless client, arranging for follow-up might involve coordinating with local health services or shelters to make sure the client returns for the test reading. Without a solid follow-up plan, the TB test could be missed, which is important for ensuring proper diagnosis and treatment.

C) Determine if the client understands the purpose of the tuberculin test:
Understanding the purpose of the test is important for client education, but it does not directly address the issue of follow-up. The priority should be ensuring that the client knows how to get the test results read, which is essential for the test's effectiveness.

D) Give the client written information about the tuberculosis test
Providing written information can be helpful, but it does not guarantee that the client will follow up to have the test read. Given the challenges faced by homeless individuals, direct assistance in planning follow-up care is more critical than providing written information alone.

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Correct Answer is D

Explanation

A) Legislative proposals that mandate influenza vaccinations for all:
While legislative mandates can increase vaccination rates broadly, they may not address specific barriers faced by underserved populations. Mandates alone do not guarantee access or overcome logistical challenges that certain groups might face.

B) Radio announcements about the availability of the influenza vaccine:
Radio announcements can raise awareness but may not effectively reach or address the specific barriers faced by underserved populations. Simply informing people of vaccine availability does not necessarily solve issues related to access, transportation, or healthcare provider availability.

C) Reports describing influenza rates during times of greatest prevalence:
Reports and statistics are useful for understanding the epidemiology of influenza but do not directly impact vaccination rates. While they may inform the public, they do not address practical barriers to obtaining the vaccine.

D) Designation of clinics conveniently located in target neighborhoods:
Designating clinics in convenient locations directly addresses one of the main barriers to vaccination—access. By making clinics easily accessible within target neighborhoods, underserved populations are more likely to receive the influenza vaccine, thus improving immunization rates. This approach addresses both access and convenience, which are crucial for increasing vaccination coverage in these groups.

A. 80% of the students attend a voluntary sex education seminar. B. Students report an average delay of 2 years for their first sexual experience. C. Students requesting information about adolescent pregnancy has increased by 25%. D. 75% of the parents agree to support a pregnancy prevention program in the schools.

Correct Answer is B

Explanation

A) 80% of the students attend a voluntary sex education seminar:
While a high attendance rate at a sex education seminar indicates interest and participation in the program, it does not directly measure the program's impact on preventing student pregnancy. Attendance alone does not provide evidence of behavioral change or reduced pregnancy rates among students.

B) Students report an average delay of 2 years for their first sexual experience:
An average delay in the age of first sexual experience is a strong indicator of the program's effectiveness in influencing behavior. Delaying sexual activity can reduce the risk of unintended pregnancies, showing that the program has successfully impacted students' decisions regarding sexual activity.

C) Students requesting information about adolescent pregnancy has increased by 25%:
An increase in requests for information about adolescent pregnancy may suggest growing awareness or curiosity, but it does not directly measure changes in pregnancy rates or the effectiveness of the prevention program in reducing pregnancies.
D) 75% of the parents agree to support a pregnancy prevention program in the schools:
While parental support is important for the success of health programs, this measure reflects support and approval rather than direct outcomes related to pregnancy prevention. The effectiveness of the program is better gauged by changes in student behavior and pregnancy rates, rather than parental agreement.

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A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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