A migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. The client reports Increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. Which nursing action has the highest priority?

Gather information about the client's recent exposure to pesticides.

Obtain a blood sample to assess for possible lead paint exposure.

Ask about the length of his workday and frequency of rest breaks.

Determine the number and age of persons living in the mobile home.

Answer and Explanation

The Correct Answer is A

A) Gather information about the client's recent exposure to pesticides:
This action is the highest priority because the symptoms described—dizziness, headaches, abdominal cramps, and difficulty breathing—are consistent with pesticide poisoning, which is a common risk for migrant farm workers. Gathering information about recent pesticide exposure will help in identifying if this is the cause of the client's symptoms and guide appropriate treatment or intervention.

B) Obtain a blood sample to assess for possible lead paint exposure:
While lead exposure could be a concern, particularly in older mobile homes, the symptoms described are more immediately suggestive of pesticide poisoning. Prioritizing assessment related to pesticide exposure is more relevant to the client's current symptoms.

C) Ask about the length of his workday and frequency of rest breaks:
While understanding work conditions is important for overall health, the acute symptoms the client is experiencing are more directly linked to chemical exposure. Addressing the potential for pesticide exposure is a more urgent concern.

D) Determine the number and age of persons living in the mobile home:
This information is useful for understanding the living conditions but does not directly address the acute symptoms the client is experiencing. The priority is to identify potential causes of the symptoms, such as pesticide exposure.

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Correct Answer is B

Explanation

A) Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program:
Evaluating the teachers’ ability to identify pediculosis capitis is important for ongoing surveillance, but it does not directly measure the effectiveness of the program in reducing the prevalence of the condition. This action focuses more on teacher training rather than the program's overall impact.

B) Measure the prevalence of pediculosis capitis among the children after four months:
Measuring the prevalence of pediculosis capitis among children after the implementation of the program is the most effective way to evaluate the program's success. By comparing the prevalence before and after the program, the nurse can assess whether the interventions (educational pamphlets and regular assessments) have led to a reduction in cases.

C) Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition:
Surveying parents about their understanding of pediculosis capitis is useful for evaluating the reach and impact of the educational component. However, it does not directly measure the effectiveness of the program in reducing the actual prevalence of pediculosis capitis among children.

D) Conduct an initial examination of each child in the school to obtain baseline data:
Conducting an initial examination provides valuable baseline data on the prevalence of pediculosis capitis before the program begins. However, this action alone does not evaluate the effectiveness of the program; it must be followed by assessments after the program’s implementation to determine if there has been a reduction in cases.

A. Legislative proposals that mandate influenza vaccinations for all. B. Radio announcements about the availability of the influenza vaccine. C. Reports describing influenza rates during times of greatest prevalence. D. Designation of clinics conveniently located in target neighborhoods.

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.

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A migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. The client reports Increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. Which nursing action has the highest priority?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

Correct Answer is D

Explanation

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