The public health nurse identifies 12 students with confirmed cases of influenza
Develop a survey on teen pregnancies
Hold a focus group to discuss immunizations
Run a mandatory flu clinic
Close the school for 6 weeks
The Correct Answer is B
Choice A reason: Developing a survey on teen pregnancies is not an appropriate action by the nurse because it does not address the issue of influenza A outbreak in the school, which can affect students of any age or gender.
Choice B reason: Holding a focus group to discuss immunizations is an appropriate action by the nurse because it can educate and inform parents and students about the benefits and risks of influenza vaccination, as well as encourage them to get vaccinated before or during flu season.
Choice C reason: Running a mandatory flu clinic is not an appropriate action by the nurse because it can violate the rights and autonomy of parents and students who may have medical or personal reasons for refusing influenza vaccination, as well as create resentment and resistance among them.
Choice D reason: Closing the school for 6 weeks is not an appropriate action by the nurse because it can disrupt the education and socialization of students, as well as cause economic and logistic problems for parents and teachers. The recommended duration of school closure for influenza A outbreak is 5 to 7 days, which is the typical incubation period of the virus.
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Correct Answer is D
Explanation
Choice A reason: The client's financial resources are not the most important factor for the nurse to consider because Meals-on-Wheels is a program that provides low-cost or free meals to seniors and people with disabilities who are unable to cook or shop for themselves.
Choice B reason: The client's level of family support is not the most important factor for the nurse to consider because Meals-on-Wheels is a program that aims to reduce social isolation and improve nutrition for homebound clients, regardless of their family situation.
Choice C reason: The client's access to transportation is not the most important factor for the nurse to consider because Meals-on-Wheels is a program that delivers meals directly to the client's home, eliminating the need for transportation.
Choice D reason: The client's ability to prepare meals is the most important factor for the nurse to consider because Meals-on-Wheels is a program that caters to clients who have difficulty or inability to cook or shop for themselves due to physical, mental, or environmental limitations.
Correct Answer is C
Explanation
Accommodation refers to the ability of the eyes to adjust and focus on objects at different distances. When a client's pupils constrict as they change focus from a far object to a near object, it indicates that their pupils are reacting appropriately to accommodate the change in focus.
To document this finding accurately, the practical nurse (PN) should document "Pupils reactive to accommodation." This statement captures the observation that the pupils are constricting in response to the client changing their focus from a far object to a near object. It indicates normal pupillary response and accommodation.
Let's briefly evaluate the other options:
a) Consensual pupillary constriction present.
Consensual pupillary constriction refers to the simultaneous constriction of both pupils when light is shone into one eye. This finding is not directly related to accommodation or the client's change in focus.
Therefore, it is not the appropriate documentation for the given scenario.
b) Nystagmus present with pupillary focus.
Nystagmus refers to involuntary eye movements that can affect the alignment and focus of the eyes. The presence of nystagmus is not mentioned in the scenario, and it is not directly related to the client's change in focus. Therefore, it is not the appropriate documentation for the given scenario.
d) Peripheral vision intact.
Peripheral vision refers to the ability to see objects outside the central visual field. While important for assessing visual function, it is not directly relevant to the observed pupillary response during accommodation. Therefore, it is not the appropriate documentation for the given scenario.
In summary, when a client's pupils constrict as they change focus from a far object to a near object, the practical nurse should document "Pupils reactive to accommodation" to accurately describe the observed pupillary response during the accommodation process.
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