During a community health screening fair for older adults, a nurse notices a client with pale, bluish feet and sores on both lower extremities that are healing poorly.
What should the nurse’s intervention be?
Instruct the client to apply antibiotic ointment to the sores.
Create a list of foods that promote wound healing.
Refer the client to a healthcare provider for a complete evaluation.
Send the client to the emergency department for treatment.
The Correct Answer is C
Answer and explanation The correct answer is C. Choice A rationale
While applying antibiotic ointment to the sores might help prevent infection, it does not address the underlying issue causing the sores and poor healing.
Choice B rationale
Although a diet rich in nutrients can promote wound healing, it is not the most immediate need for this client. The client’s symptoms suggest a serious underlying condition that requires medical evaluation.
Choice C rationale
The client’s symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.
Choice D rationale
Sending the client to the emergency department for treatment might be necessary in some cases, but it is more appropriate to first refer the client to a healthcare provider for a complete evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
Choice B rationale
Informing the parents of problems associated with perspiration for those with eczema is also important. However, this does not directly address the teenager’s desire to play sports. It’s more of a secondary action that supports the primary action of managing the condition.
Choice C rationale
Informing the athletic coach of the teenager’s skin condition and its manifestations could be helpful in ensuring that the coach understands the teenager’s needs and can support them appropriately. However, this is not the most direct action that the nurse can take to help the teenager manage their condition while playing sports.
Choice D rationale
Encouraging the teenager to join the swim team instead of an outdoor sport could potentially reduce exposure to triggers for eczema flares, such as sweat and heat. However, chlorine in swimming pools can also be a trigger for some people with eczema. Therefore, this option might not be the best for everyone and should be considered on an individual basis.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Conducting interviews with community members is a crucial first step when evaluating a community's health promotion needs[^30^]³²³³³?. These interviews can provide valuable insights into the community's health concerns, behaviors, and needs. They can also help
identify barriers to health promotion and potential strategies for overcoming these
barriers[^30^]³²³³³?.
Choice B rationale
Organizing a health fair for the entire community can be a valuable health promotion strategy. However, it would not typically be the first step in evaluating a community's health promotion needs. Before organizing such an event, it would be important to understand the specific health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice C rationale
Forecasting future healthcare needs is an important aspect of health promotion planning. However, it would not typically be the first step in evaluating a community's health promotion needs. Before forecasting future needs, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice D rationale
Assessing the outcomes of previous projects can provide valuable insights for future health promotion efforts. However, it would not typically be the first step in evaluating a community's health promotion needs. Before assessing previous outcomes, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
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