A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?

Provide anticipatory guidance classes to parents through public schools.

Launch a media campaign to increase awareness about industrial pollution.

Encourage rural residents to focus health spending on tertiary health interventions.

Have a nurse from outside the community provide health lectures at the county hospital.

Answer and Explanation

The Correct Answer is A

A. Correct – Anticipatory guidance (e.g., child development, injury prevention, nutrition) in schools helps promote preventive healthcare in rural areas.
B. Incorrect – While pollution awareness is important, industrial pollution may not be the most immediate health concern for this rural community.
C. Incorrect – Encouraging spending on tertiary care (treatment of existing disease) is less effective than focusing on primary and secondary prevention.
D. Incorrect – Using local healthcare providers increases trust and participation; bringing in an outside nurse may not be as effective.

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Correct Answer is C

Explanation

A. Mannitol is used to decrease intracranial pressure but should only be given after assessing the client's neurological status.
B. An MRI can help diagnose brain injuries but is not the priority before assessing the client's condition.
C. The Glasgow Coma Scale (GCS) helps assess the severity of brain injury and is crucial in determining the immediate needs of the client.
D. A urinary catheter may be needed but is not the priority over neurological assessment.

A. Herpes zoster B. Hypothyroidism C. Obesity D. Hypertension

Correct Answer is A

Explanation

A. Acupuncture involves inserting needles into the skin, which can introduce infections. Herpes zoster (shingles) causes skin lesions and nerve pain, making acupuncture unsafe due to the risk of exacerbating the condition or spreading the virus.
B. Hypothyroidism does not affect the safety of acupuncture.
C. Obesity is not a contraindication but may require adjustments in acupuncture techniques.
D. Hypertension is not a contraindication unless the client has severe, uncontrolled hypertension.

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A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?

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