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 A

Explanation

A) Contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year:
Directly contacting parents before the school year begins is the most effective intervention for ensuring that students receive the necessary immunizations. By reminding parents ahead of time, the school nurse can help ensure that the second dose of the MMR vaccine is administered before the start of kindergarten, which is crucial for meeting school entry requirements and protecting public health.

B) Send notices home with the children on the first day of class advising that MMR vaccine series must be completed:
Sending notices on the first day of class might be too late for many parents to act on promptly. Ensuring that children have received the second dose of the MMR vaccine before the school year starts is important for compliance and preventing potential outbreaks.

C) Note in student records that the second dose of the MMR vaccine should be administered prior to entering first grade:
While noting the requirement in student records is important for long-term tracking, it does not address the immediate need to ensure that students are up-to-date with their vaccinations before starting kindergarten. Immediate action is necessary to ensure compliance at the beginning of the school year.

D) Speak at the next parent-teacher association meeting to teach parents the benefits of immunizing their children:
While educating parents about the benefits of immunization is valuable, it does not directly address the immediate need for the second dose of the MMR vaccine. Direct reminders and actions to ensure vaccinations are up-to-date are more effective in achieving timely compliance.

A. Diabetes mellitus. B. Hypothyroidism. C. English proficiency. D. Iron deficiency anemia.

Correct Answer is A

Explanation

A. Diabetes mellitus:
Given that a large percentage of Hispanic children in the elementary school are overweight, diabetes mellitus is a significant health concern. Overweight and obesity are major risk factors for type 2 diabetes, which is increasingly prevalent in children with these conditions. Screening for diabetes mellitus is crucial for early identification and management to prevent complications associated with this condition.

B. Hypothyroidism:
While hypothyroidism can contribute to weight gain, it is less directly linked to the prevalence of overweight in the general population compared to diabetes mellitus. Screening for hypothyroidism would be less prioritized unless there are specific indications or symptoms related to thyroid dysfunction.

C. English proficiency:
Although English proficiency is important for academic success and communication, it is not directly related to the health concerns associated with overweight and obesity. Addressing health issues like diabetes is more urgent for managing the overweight problem.

D. Iron deficiency anemia:
Iron deficiency anemia is a concern in some populations, but it is less directly associated with overweight and obesity compared to diabetes mellitus. Screening for iron deficiency anemia would be relevant in different contexts but is not the highest priority in addressing the immediate health impact of obesity-related conditions.

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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

The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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