The community health center has observed a significant increase in influenza cases compared to previous years.
The nursing staff is tasked with reviewing outcome data to identify any trends in vaccination rates and reasons for any decline.
What actions should the nursing team take to gather data for analysis?

Delineate the geographic distribution of the area to survey and review for patterns.

Ask a set number of clients if they have had the flu.

Generate influenza immunization and case reports from the electronic record.

Determine the change in immunization rates from the previous year to the current year.

Answer and Explanation

The Correct Answer is C

Answer and explanation The correct answer is C. Choice A rationale

Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.

Choice B rationale

Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.

Choice C rationale

Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.

Choice D rationale

Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.

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Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.

Choice B rationale

Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptom.

Choice C rationale

Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to start treatment with permethrin would not be appropriate based on the information given.

Choice D rationale

Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.

A. Discussion of food exchanges and calories was a well-attended class. B. Parking convenience for attendees continued to be a major concern. C. Demonstrating the use of a blood glucose meter was an effective teaching strategy. D. Fasting blood glucose average readings were 20% lower at the end of the classes.

Correct Answer is D

Explanation

Answer and explanation The correct answer is D. Choice A rationale

While the discussion of food exchanges and calories being well-attended indicates interest and engagement in the class, it does not necessarily reflect an improvement in the clients’ management of their diabetes.

Choice B rationale

Parking convenience for attendees, while important for accessibility and attendance, does not provide information about the effectiveness of the classes in improving diabetes management.

Choice C rationale

Demonstrating the use of a blood glucose meter can be an effective teaching strategy, but it does not provide measurable outcomes related to the clients’ diabetes control.

Choice D rationale

Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.What should be the nurse’s response to this observation?

Correct Answer is D

Explanation

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 D

Explanation

During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.What action should the nurse take?

The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center.The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters.What should be the nurse’s initial action?

A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.The nurse is reviewing the patient’s data. Which data warrants follow-up?

An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.What is the most important for the clinic nurse to ask the client?

The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?

The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.

A client was admitted to the community palliative care unit ten years after being diagnosed with multiple sclerosis (MS). Which intervention should the nurse prioritize in the client’s care plan?

After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?