A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?

A. Renal insufficiency: While annual screening for renal insufficiency is important for individuals with diabetes to detect early signs of diabetic nephropathy, it is not as directly related to the immediate risks associated with smoking and family history of heart disease.

B. Peripheral neuropathy: Screening for peripheral neuropathy is essential for diabetes management, but it is not the most critical in the context of the client's smoking history and family history of early heart disease.

C. Hyperlipidemia: Given the client’s significant risk factors—including smoking two packs of cigarettes daily and a family history of early cardiovascular events—it is crucial to screen for hyperlipidemia. Smoking and a family history of early heart attack both increase the risk of cardiovascular disease, which is often associated with high cholesterol levels. Addressing hyperlipidemia can help mitigate the risk of cardiovascular complications.

D. Retinopathy: Screening for diabetic retinopathy is important for managing diabetes and preventing vision problems. However, in the context of the client's smoking and family history, addressing hyperlipidemia is a more immediate concern related to cardiovascular health.

A) Provide rehabilitation services to injured farm hands:
Providing rehabilitation services is important for recovery and improving the quality of life for those who have been injured, but it addresses the consequences of injuries rather than the prevention of injuries. This action focuses on managing the outcome of injuries rather than addressing the prevention of the agent causing the injuries.

B) Work with legislators to mandate safe tractor design:
Focusing on the agent in the epidemiological triad involves addressing the factors directly responsible for causing the injury. Working with legislators to mandate safe tractor design targets the agent (the tractor and its design) to prevent injuries. By ensuring that farm machinery is designed with safety features, the risk of injury is reduced, effectively addressing the source of the problem.

C) Teach farm workers not to smoke around farm equipment:
While teaching farm workers not to smoke around farm equipment is a valuable safety measure, it addresses a risk behavior related to fire hazards rather than the machinery itself. This action focuses on modifying behaviors rather than altering the agent of injury, which is the machinery.

D) Translate written vehicle instructions into picture format:
Translating instructions into picture format can improve understanding and safety by making instructions more accessible. However, this action primarily addresses the communication of safety procedures rather than changing or improving the agent causing the injuries. Focusing on the agent involves modifying the machinery itself rather than just improving instructions.