An older adult client with a number of comorbidities is assessed by the home health nurse. Which problem is most important for the nurse to investigate further?

A client leaves work at a nearby restaurant and visits the health clinic where the client is diagnosed with viral conjunctivitis. While receiving discharge instructions from the nurse, the client describes already feeling much better and plans to return to work for the afternoon shift. How should the nurse respond?

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

The school nurse is coaching a group of high school students on ways to deal with the stress of final exams. Today the class is focusing on healthy food choices for lunch in the school cafeteria. Which menu options should the nurse advise the students to select?

The home health nurse is preparing to make daily visits to a group of clients. Which client should the nurse visit first?

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Several employees who have a 10-year or longer smoking history ask the occupational health nurse for assistance with smoking cessation. The nurse develops a 2-month program that includes weekly group sessions on lifestyle changes and use of over-the-counter (OTC) nicotine substitute products. Which measurement provides the best indication of the program's effectiveness?

A migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. The client reports increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. Which nursing action has the highest priority?

On a repeat home visit to see an older adult widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize the neighbors or the nurse. Which action should the nurse take first?

After a coronary artery bypass graft, a client is discharged home with a referral for home health care and cardiac rehabilitation. Which assessment should the nurse obtain for this client's tertiary prevention?

School teachers notify the school nurse that a group of children of migrant farm workers often miss school or sleep during classes. The nurse learns that the children range in age from 12 to 14 years old and work in an orchard with their parents until 2200 every night. Which action should the nurse implement?