The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?

Weight and height.

Sexual activity.

Immunization history.

Visual acuity.

Answer and Explanation

The Correct Answer is B

A) Weight and height:
While measuring weight and height is important for assessing growth and overall health, it may not address the most critical health issues or concerns for high school students in the context of a health fair. Weight and height provide general health information but may not reflect more immediate or significant health needs specific to this population.

B) Sexual activity:
Assessing sexual activity is crucial in a health fair setting for high school students, as it directly relates to important health issues such as sexual health, risk of sexually transmitted infections (STIs), and unintended pregnancies. Understanding students’ sexual activity can help tailor educational programs and provide necessary resources and counseling, making it a priority assessment for addressing relevant health concerns.

C) Immunization history:
Immunization history is important for identifying gaps in vaccinations and ensuring that students are protected against preventable diseases. However, while relevant, it may not address the specific behavioral and health education needs that can be more directly assessed through discussions about sexual activity and associated risks.

D) Visual acuity:
Assessing visual acuity is important for identifying potential vision problems but may not address the broader range of health issues and behavioral concerns that are relevant for high school students. Visual acuity is one aspect of health but does not capture the comprehensive needs that can be identified through an assessment of sexual activity.

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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. 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.

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The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?

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

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

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