A nurse is teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that a client who lives in a crowded apartment building is at risk for which of the following conditions?
Hypertension.
Rheumatoid arthritis.
Deep vein thrombosis.
Infectious diseases.
The Correct Answer is D
Choice A reason: Hypertension is linked to stress, diet, or genetics, not directly to crowded living. While crowding may cause stress, its impact on blood pressure is indirect. Sympathetic activation from stress can elevate blood pressure, but crowded environments primarily increase infectious disease risk due to close contact.
Choice B reason: Rheumatoid arthritis is an autoimmune condition driven by genetic and environmental factors, not crowding. Crowded living does not trigger the immune dysregulation or inflammatory cytokine release (e.g., TNF-alpha) characteristic of rheumatoid arthritis, which is unrelated to population density or close contact.
Choice C reason: Deep vein thrombosis results from immobility, hypercoagulability, or vascular injury, not crowding. Crowded living may limit physical activity, but the direct risk is low. Stasis in veins, not close contact, drives clot formation, making this condition unrelated to crowded apartment environments.
Choice D reason: Crowded apartment buildings increase infectious disease risk due to close contact, facilitating transmission of pathogens like influenza or tuberculosis via respiratory droplets or surfaces. Poor ventilation and shared spaces enhance microbial spread, weakening immune defenses and increasing susceptibility to infections in densely populated settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Checking the airway is the priority in post-anesthesia care, as anesthesia can cause respiratory depression or obstruction due to reduced pharyngeal muscle tone. Ensuring airway patency prevents hypoxia, maintaining oxygen delivery to vital organs, critical for patient safety and stabilization post-surgery.
Choice B reason: Level of consciousness is assessed after ensuring airway and breathing, as anesthesia (e.g., propofol) depresses the central nervous system. While important for neurological status, it is secondary to airway patency, as hypoxia from an obstructed airway poses an immediate life-threatening risk in the post-anesthesia period.
Choice C reason: Blood pressure monitoring is crucial to assess hemodynamic stability post-anesthesia, as hypotension may result from anesthetic agents or blood loss. However, airway obstruction causes hypoxia faster than cardiovascular instability, making airway assessment the first priority to ensure oxygenation before addressing circulatory parameters.
Choice D reason: Pain assessment is important for patient comfort and recovery but is not the first priority. Uncontrolled pain may increase sympathetic activity, affecting heart rate, but airway compromise causes rapid hypoxia, posing a greater immediate threat, requiring airway evaluation before addressing pain levels.
Correct Answer is C
Explanation
Choice A reason: Red bone marrow does not facilitate motion or flexibility, which are functions of joints, muscles, and connective tissues. Red bone marrow is hematopoietic, producing blood cells, including erythrocytes, leukocytes, and platelets, within the bone matrix, not contributing to musculoskeletal movement, making this an incorrect function.
Choice B reason: Red bone marrow does not store calcium, which is a function of bone tissue, particularly the mineralized matrix of cortical and trabecular bone. While red marrow resides within bones, its primary role is hematopoiesis, not mineral storage, making this an inaccurate description of its physiological function.
Choice C reason: Red bone marrow produces white blood cells (leukocytes), crucial for immune function, through hematopoiesis. It generates lymphocytes, neutrophils, and other leukocytes within the bone marrow’s hematopoietic stem cells, supporting the body’s defense against infections, making this the correct function to include in teaching about red bone marrow.
Choice D reason: Red bone marrow does not provide protection for internal organs, which is a function of the skeletal system’s bones, such as the skull or ribcage. Red marrow’s role is blood cell production, not structural protection, making this an incorrect function for teaching about its physiological purpose.
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