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An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.
What is the most important for the clinic nurse to ask the client?

Do you have any discharge from the eye?

Are all of your immunizations up-to-date?

Have you started any new medications recently?

How frequently do you wash your hands?

Answer and Explanation

The Correct Answer is A

Answer and explanation

The correct answer is Choice A.

Choice A rationale

If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.

Choice B rationale

While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.

Choice C rationale

Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.

Choice D rationale

Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.

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Correct Answer is C

Explanation

Answer and explanation The correct answer is C. Choice A rationale

Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.

Choice B rationale

Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.

Choice C rationale

Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.

Choice D rationale

Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.

A. Characteristics of families in the upper-middle class. B. Interventions focused on college-educated individuals. C. The reliability of such a high average family income. D. The frequency of incomes above and below the average.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is D.

Choice A rationale

While understanding the characteristics of families in the upper-middle class can provide some insights, it does not give a comprehensive view of the community’s health needs. The income range suggests there are also families with lower incomes, and their health needs might be different.

Choice B rationale

Focusing interventions solely on college-educated individuals could overlook those who do not have a college education but still contribute to the average family income. Health needs can vary widely among individuals regardless of their educational background.

Choice C rationale

While it’s important to verify the reliability of the high average family income, it does not directly inform the nurse about the community’s health needs. Income is just one aspect of a community’s demographic profile.

Choice D rationale

Understanding the frequency of incomes above and below the average can help the nurse identify income inequality within the community. This information is crucial as income inequality can impact access to healthcare services and health outcomes.

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An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.What is the most important for the clinic nurse to ask the client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000.Based on this demographic information, which additional information is important for the nurse to assess?

Correct Answer is D

Explanation

The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.

A 2-month-old infant contracts a disease through vertical transmission.Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?

During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.What action should the nurse take?

In the context of the “Healthy People 2030” objectives, the nurse identifies a significant issue in the community related to the prevention of dental caries in children. Where would be the most effective location to start a prevention program?

A client was admitted to the community palliative care unit ten years after being diagnosed with multiple sclerosis (MS). Which intervention should the nurse prioritize in the client’s care plan?

A 5-year-old patient has been brought in for a routine check-up and vaccination update.The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks.What actions should the nurse take?

After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?

The community health nurse suspects that immunization rates in a lower-socioeconomic section of the city are likely below the state health department’s target.What should be the nurse’s initial action to address this health problem?

An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.
What is the most important for the clinic nurse to ask the client?