The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?

Review current epidemiological population data that might document a low immunization rate.

Call a meeting of citizens to inform them of the importance of having their children immunized.

Join a political action group that focuses attention on the issue in the local news media.

Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood.

Answer and Explanation

The Correct Answer is A

A) Review current epidemiological population data that might document a low immunization rate:
The first step in addressing low immunization rates is to gather and review current epidemiological data to confirm the extent of the problem. This data will provide a clear picture of the immunization rates in the area and help identify the specific gaps that need to be addressed. Accurate data is essential for designing targeted interventions and measuring their effectiveness.

B) Call a meeting of citizens to inform them of the importance of having their children immunized:
Informing the community about the importance of immunizations is a crucial step, but it should follow an assessment of the current immunization rates. Without data, it is difficult to know the exact need or how to effectively tailor the education to the community’s specific situation.

C) Join a political action group that focuses attention on the issue in the local news media:
While raising awareness through media and political action can be effective, it is more important to first understand the specific problem through data. The approach to media and political action can be informed and refined based on the findings from the epidemiological data review.

D) Partner with a local children's hospital in setting up free "shot" clinics in the neighborhood:
Setting up free clinics can be a valuable intervention, but before implementing such a program, it is essential to understand the scope of the problem through data review. This ensures that resources are allocated effectively and that the clinics are set up in the areas with the greatest need.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Renal insufficiency: While annual screening for renal insufficiency is important for individuals with diabetes to detect early signs of diabetic nephropathy, it is not as directly related to the immediate risks associated with smoking and family history of heart disease.

B. Peripheral neuropathy: Screening for peripheral neuropathy is essential for diabetes management, but it is not the most critical in the context of the client's smoking history and family history of early heart disease.

C. Hyperlipidemia: Given the client’s significant risk factors—including smoking two packs of cigarettes daily and a family history of early cardiovascular events—it is crucial to screen for hyperlipidemia. Smoking and a family history of early heart attack both increase the risk of cardiovascular disease, which is often associated with high cholesterol levels. Addressing hyperlipidemia can help mitigate the risk of cardiovascular complications.

D. Retinopathy: Screening for diabetic retinopathy is important for managing diabetes and preventing vision problems. However, in the context of the client's smoking and family history, addressing hyperlipidemia is a more immediate concern related to cardiovascular health.

A. A 12-year-old child with history of asthma who is wheezing and reporting shortness of breath. B. A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness. C. A 10-year-old child with bleeding lacerations on both knees after falling in gym class. D. A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.

Correct Answer is A,B,C,D

Explanation

1. A 12-year-old child with a history of asthma who is wheezing and reporting shortness of breath.

Rationale: The child with asthma who is wheezing and experiencing shortness of breath is the highest priority. Wheezing and shortness of breath are signs of a potentially severe asthma exacerbation, which can quickly become life-threatening if not addressed promptly. Immediate intervention is needed to ensure adequate oxygenation and prevent further respiratory distress.

2. A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness

Rationale: The child with type 1 diabetes mellitus who is experiencing extreme hunger and shakiness may be showing symptoms of hypoglycemia, which can also be potentially dangerous. While not as immediately life-threatening as severe respiratory distress, hypoglycemia needs to be addressed quickly to prevent complications such as loss of consciousness or seizures.

3. A 10-year-old child with bleeding lacerations on both knees after falling in gym class.

Rationale: The child with bleeding lacerations requires prompt care to manage the bleeding and prevent infection. However, this situation is less critical compared to the respiratory distress and hypoglycemia, which have more immediate implications for the child’s health.

4. A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.

Rationale: While the child’s distress and the need for clean-up are important, this situation is the least urgent in terms of immediate health risks compared to the other three cases. Addressing the child’s comfort and hygiene can follow after more critical needs are met.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

Correct Answer is A,B,C,D

Explanation

Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

The epidemiological triad can be used to frame strategies for the prevention of farm machinery injuries. Which action should the nurse take to focus on the agent?

Community health nurses are particularly concerned with the spread of communicable diseases such as hepatitis A. Which group of Individuals should the nurse identify as being at greatest risk for contracting this type of hepatitis?

The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

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

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?

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?

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?