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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Instruct on technique of "stop, drop & roll" at assembly:
This is a primary prevention intervention aimed at educating students on how to prevent burns in the event of a fire. It does not address a specific identified problem but rather provides general safety education.
B) Involve the parent teacher association (PTA) in a fund raising event for the new gym:
This action focuses on raising funds for a new gym, which is related to school improvement and development rather than addressing an immediate health issue. It does not fall under secondary intervention for an identified problem.
C) Invite 1st grade parents to a "Meet the Teachers" event:
This intervention focuses on fostering relationships between parents and teachers and improving school engagement. While valuable, it does not address a specific health problem that requires secondary intervention.
D) Send letters to parents regarding a recent lice infestation:
This is a secondary prevention intervention aimed at addressing an already identified problem—in this case, a lice infestation. By informing parents, the nurse is helping to manage and control the spread of lice among students, which is a direct response to an identified health issue.
Correct Answer is C
Explanation
A) Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels:
While inspecting for lead in older homes is important for general child safety and health, it is not directly related to the immediate safety of children walking to and from school. This action focuses on environmental health rather than direct safety measures for pedestrian routes.
B) Advise the residents to keep their porch lights on during hours that children are walking to and from school:
Keeping porch lights on can enhance visibility and deter potential hazards, but this action alone may not comprehensively address all safety concerns related to walking routes, such as traffic and pedestrian infrastructure.
C) Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood:
Designating safe houses provides a structured and effective approach to improving safety for children walking to and from school. Safe houses can offer a refuge in emergencies, enhancing overall safety and security. This approach directly supports the goal of increasing safety along the school routes.
D) Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times:
Encouraging seatbelt use is important for overall traffic safety but does not specifically address the safety of children walking to and from school. While it contributes to broader traffic safety, it does not directly impact pedestrian safety or walking routes.
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