A nurse is caring for several clients at a homeless shelter who report manifestations of infectious diarrhea. Which of the following actions should the nurse take first?

Refer the clients for financial assistance to receive medications

Arrange for the clients to see a health care provider.

Provide teaching about hand washing for the clients.

Obtain an individual client exposure history.

Answer and Explanation

The Correct Answer is D

A. Refer the clients for financial assistance to receive medications: While financial support is important for accessing treatment, it is not the immediate priority during an active outbreak. The nurse must first assess the scope and potential cause of the diarrhea to prevent further spread and guide appropriate interventions.

B. Arrange for the clients to see a health care provider: Medical evaluation is essential, especially if symptoms worsen or complications arise. However, this step should follow a thorough assessment of exposure to identify patterns, potential sources, and the need for urgent containment or broader screening efforts.

C. Provide teaching about hand washing for the clients: Hand hygiene is critical in preventing the transmission of infectious diarrhea. However, client education should come after identifying the exposure route to ensure teaching is targeted and effective in addressing the specific mode of transmission.

D. Obtain an individual client exposure history: The nurse’s first priority should be to gather detailed information about each client's symptoms, recent meals, travel, and contacts. This assessment helps identify common exposures, guides immediate containment efforts, and directs appropriate medical or public health responses to control a potential outbreak.

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

Explanation

A. The child is frequently absent from school: Chronic absenteeism can indicate neglect, particularly if there is no known illness or explanation. It suggests a lack of adequate supervision or possible efforts to hide signs of abuse.

B. The child's clothes are wrinkled and dirty: Consistently poor hygiene or unclean clothing can be a sign of neglect. It reflects a caregiver's failure to meet the child’s basic physical needs.

C. The child reports coughing all day: A cough alone is not indicative of abuse or neglect. It could result from many common, non-abuse-related conditions and does not support a maltreatment referral unless associated with other concerning signs.

D. The child is wearing open-toed shoes and the weather is cold outside: Inappropriate clothing for the weather can be a sign of neglect, especially if it occurs repeatedly. It may show a failure to provide for the child's health and safety.

E. The child tells the nurse that they are sick because they are bad: This statement suggests the child may have internalized blame and shame, which can be a psychological result of abuse. It is a red flag when seen alongside physical signs like bite marks.

A. Decreased nausea B. Decreased manifestations of menopause C. Decreased manifestations of allergy D. Decreased eczema

Correct Answer is A

Explanation

A. Decreased nausea: Ginger is well-documented for its antiemetic properties. It helps relieve various types of nausea, including that caused by motion sickness, pregnancy, chemotherapy, and postoperative recovery by acting on the gastrointestinal tract and central nervous system.

B. Decreased manifestations of menopause: While some herbal remedies like black cohosh or soy are used for menopausal symptoms, ginger is not commonly used for hot flashes or hormonal regulation, so this would not be an appropriate indicator of its effectiveness.

C. Decreased manifestations of allergy: There is limited evidence suggesting that ginger plays a significant role in alleviating allergic symptoms. It is not considered a primary alternative therapy for allergy treatment.

D. Decreased eczema: Ginger does not have recognized therapeutic value for eczema. Other topical treatments or dietary interventions are more commonly used for managing this skin condition.

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A nurse is caring for several clients at a homeless shelter who report manifestations of infectious diarrhea. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should submit a referral for suspected child maltreatment based on which of the following additional findings? Select all that apply)

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

Explanation

A nurse is evaluating a client who uses ginger as an alternative and complementary therapy. Which of the following outcomes indicates the effectiveness of the treatment?

Correct Answer is A

Explanation

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