A nurse is educating a 50-year-old female client.
Which of the following statements should the nurse include in the teaching?

You should have a complete eye examination every 2 years until the age of 64.

You should have your fasting blood glucose level checked every 6 years.

You should have your stool tested for blood every other year until the age of 74.

You should have your hearing screened every 5 years.

Answer and Explanation

The Correct Answer is A

Choice A rationale

This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.

Choice B rationale

Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.

Choice C rationale

Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.

Choice D rationale

Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.

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Correct Answer is B

Explanation

Choice A rationale

Administering oxygen therapy is a specific medical intervention that may not be immediately necessary or appropriate depending on the cause of the symptoms. It would be more appropriate to first establish a triage area to assess the severity of the students’ conditions.

Choice B rationale

Establishing a triage area is the correct immediate action. This allows the nurse to quickly assess the severity of each student’s condition, prioritize care, and determine the appropriate next steps.

Choice C rationale

Notifying the parents of the students might be a subsequent step after assessing the students and determining the cause of the symptoms. However, it should not be the immediate action.

Choice D rationale

Contacting the local health department would be appropriate if there was a suspicion of a public health emergency, such as an outbreak of a communicable disease. However, the immediate action should be to assess the students and provide necessary care.

Correct Answer is ["73.3"]

Explanation

To calculate the prevalence proportion, we need to consider the total number of existing cases within the population at a given time. Here's how we can approach this:

Understanding Prevalence:
- Prevalence measures the proportion of a population that has a specific condition at a particular time. It includes both new and existing cases.
Calculations:
- First, we need to determine the total number of diabetes cases. In this scenario we must add the new cases to the already existing cases. So 6+5 = 11 cases.
- Then, we divide the total number of cases by the total population.
- Prevalence Proportion = (Total Number of Cases) / (Total Population)
- Prevalence Proportion = 11 / 15,000
- Prevalence proportion= 0.0007333333333333333
Result:
- The prevalence proportion of diabetes mellitus in the community is approximately 0.000733. This can also be expressed as 73.3 cases per 100,000 people.

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A nurse is educating a 50-year-old female client.Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

During a routine visit to a physical education class, a nurse receives multiple complaints of shortness of breath, coughing, and nausea. What should be the nurse’s immediate action?

Correct Answer is B

Explanation

A community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community?

Correct Answer is ["73.3"]

Explanation

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A nurse is educating a 50-year-old female client.
Which of the following statements should the nurse include in the teaching?