During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

Refer to healthcare provider for complete evaluation.

Send client to the emergency department for treatment.

Instruct client to apply antibiotic ointment to sores.

Create a list of foods that promote wound healing.

Answer and Explanation

The Correct Answer is A

A) Refer to healthcare provider for complete evaluation:
The symptoms described—pale, bluish feet, and sores with poor healing—are indicative of possible peripheral vascular disease, circulatory issues, or other serious conditions that require a thorough medical evaluation. Referring the client to a healthcare provider ensures that a comprehensive assessment can be performed to diagnose the underlying cause and develop an appropriate treatment plan.

B) Send client to the emergency department for treatment:
While the symptoms are concerning, they do not necessarily indicate an immediate emergency requiring urgent care. Referral to a healthcare provider for a complete evaluation is generally more appropriate unless the client exhibits signs of a life-threatening condition or severe infection.

C) Instruct client to apply antibiotic ointment to sores:
Applying antibiotic ointment might help with wound care but does not address the underlying issue that is causing the poor wound healing and the bluish discoloration. Without a complete evaluation, it's uncertain whether antibiotic ointment alone will be sufficient or appropriate.

D) Create a list of foods that promote wound healing:
Although nutrition is important for wound healing, addressing the underlying health issues affecting the client's circulation and skin integrity is more critical. A healthcare provider can offer comprehensive treatment that includes managing the client’s overall health condition, which may involve more than just dietary changes.

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Correct Answer is A

Explanation

A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.

B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.

C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.

D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.

A. Emphasize that using safe sex practices removes the risk of sexually transmitted Infections (STIs) B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse. C. Discuss that partners without similar symptoms may not be infected. D. Instruct the client on the importance of notifying sexual partners.

Correct Answer is D

Explanation

A. Emphasize that using safe sex practices removes the risk of sexually transmitted infections (STIs):
While safe sex practices significantly reduce the risk of STIs, they do not eliminate it entirely. It is important to communicate that while the risk is reduced, it is not completely absent.

B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse:
This statement is not entirely accurate. While most STIs are transmitted through sexual intercourse, some can also be spread through other means, such as blood contact or from mother to child during childbirth.

C. Discuss that partners without similar symptoms may not be infected:
STIs like gonorrhea can be asymptomatic in many individuals, meaning they can still transmit the infection to others even if they do not show symptoms. This response could be misleading, as it may cause the client to mistakenly believe that partners without symptoms are not at risk.

D. Instruct the client on the importance of notifying sexual partners:
It is crucial for the client to notify all sexual partners about the infection so that they can be tested and treated if necessary. This helps prevent the further spread of the infection and ensures that partners receive appropriate care.

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During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

Correct Answer is A

Explanation

The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?

Correct Answer is D

Explanation

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