On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?

A young person with diabetes mellitus.

A middle-aged person who has hypertension.

An older person who is malnourished.

An adult who was hit by a car 3 weeks ago.

Answer and Explanation

The Correct Answer is C

A) A young person with diabetes mellitus:
While diabetes mellitus is a significant health condition that requires management, especially in cold weather, it does not necessarily indicate an immediate or heightened risk compared to other conditions. Diabetes requires proper care and monitoring, but the urgency related to exposure to freezing temperatures may not be as critical as other conditions.

B) A middle-aged person who has hypertension:
Hypertension is an important condition that requires management, but in the context of a cold weather emergency, it does not represent an immediate risk related to exposure. The middle-aged person with hypertension may need stable conditions for managing their health, but their situation is less critical in terms of immediate exposure to freezing temperatures.

C) An older person who is malnourished:
An older person who is malnourished is at a higher risk when exposed to freezing temperatures. Malnutrition can impair the body’s ability to regulate temperature and increase susceptibility to cold-related illnesses such as hypothermia. Therefore, this individual is at greater risk and most in need of shelter to protect against the dangers of extreme cold.

D) An adult who was hit by a car 3 weeks ago:
An individual who was injured in a car accident 3 weeks ago may have ongoing medical needs, but unless there are specific complications or issues directly related to cold exposure, their immediate need for shelter due to freezing temperatures is less critical compared to a malnourished older person. Ensuring warmth and protection from the cold is the primary concern for those most vulnerable to the weather conditions.

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Correct Answer is ["A","C","D"]

Explanation

A. Encourage smoking cessation:
Smoking during pregnancy can have serious consequences for both the mother and the fetus, such as increased risks of preterm birth, low birth weight, and developmental issues. Encouraging smoking cessation is crucial for improving both maternal and fetal health.

B. Arrange for childcare:
While childcare is an important consideration, it is not an immediate priority at this stage. The focus should be on ensuring the adolescent receives proper prenatal care and support for her health and the health of the baby.

C. Offer nutritional instruction:
Good nutrition is vital for a healthy pregnancy. Offering nutritional instruction helps the adolescent understand how to meet her dietary needs and those of her developing baby, contributing to better pregnancy outcomes.

D. Refer for prenatal care:
Prenatal care is essential for monitoring the health of both the mother and the fetus, providing necessary medical interventions, and offering support. Referring the adolescent for prenatal care is critical for addressing her medical needs throughout her pregnancy.

E. Teach breastfeeding methods:
While teaching breastfeeding methods is important, it is not the most immediate concern. This can be addressed later in the pregnancy or closer to delivery when the adolescent is more prepared to consider breastfeeding.

F.Notify her parents:
Unless the adolescent gives explicit consent or there are concerns for her safety or the safety of the baby, the nurse should maintain confidentiality. In many cases, the decision to notify parents is complex and requires careful consideration of the adolescent's autonomy and legal rights.

A. Immunize all children under age 5 in the one hundred family aggregate. B. Immunize all members of the one hundred families. C. Quarantine the one hundred family aggregate. D. Quarantine all family members of the child with whooping cough.

Correct Answer is D

Explanation

A) Immunize all children under age 5 in the one hundred family aggregate:
Immunization would be a standard preventive measure to control the spread of whooping cough, but in this case, the immediate focus should be on managing the current outbreak. Ensuring that the child with whooping cough and their close contacts are managed appropriately is crucial, rather than preemptively immunizing all children in the aggregate without addressing the existing case.

B) Immunize all members of the one hundred families:
While immunization is essential in preventing whooping cough, implementing this measure without considering the specific outbreak context and the families' religious beliefs might not be feasible or immediately effective. Additionally, managing the outbreak and containing its spread is the immediate priority.

C) Quarantine the one hundred family aggregate:
Quarantining an entire aggregate of families, especially when the infection is present in only one documented case, would be excessive and likely impractical. Quarantine measures should be targeted to those directly exposed or infected to prevent further spread.

D) Quarantine all family members of the child with whooping cough:
Quarantining all family members of the child with whooping cough is the most appropriate immediate intervention. This targeted quarantine helps prevent the spread of the infection within the affected household and controls the outbreak. It addresses the specific exposure and containment needs of the situation effectively.

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On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?

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Naxlex Comprehensive Predictor Exams

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?

Correct Answer is D

Explanation

The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?

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?

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?

The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement?

While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?

During a substance abuse class at an elementary school, a student says, "My Dad used to drink one beer a day. Now he drinks at least a six-pack every day." What does this child's description of the father indicae?

A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?