While performing health screenings at a community health fair, the nurse reviews data obtained from four clients. Which client information has the highest priority for follow-up intervention?
A postmenopausal woman who reports that she has never performed a breast self-exam.
An older woman whose screening test shows a significant decrease in bone density.
An adolescent who demonstrates early signs of community-acquired methicillin-resistant Staphylococcus aureus (MRSA).
A teenage girl who reports she is sexually active and does not use birth control.
The Correct Answer is C
Choice A reason: Lack of breast self-exams may delay detection of breast cancer, but it is not an urgent issue. Clinical breast exams and mammography are more reliable screening tools, especially in postmenopausal women.
Choice B reason: Decreased bone density indicates osteoporosis risk, which requires follow-up but is not immediately life-threatening. It is a chronic condition that can be managed with medication and lifestyle changes.
Choice C reason: MRSA is a serious bacterial infection that is resistant to many antibiotics. Early signs require prompt medical evaluation to prevent progression to systemic infection or transmission to others. This is the most urgent concern.
Choice D reason: Unprotected sexual activity increases the risk of STIs and unintended pregnancy, which are important public health concerns. However, they do not pose an immediate health threat compared to a potentially invasive MRSA infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: An A1C of 9.1% is significantly above the target range and indicates poor glycemic control. Congratulating the client would be inappropriate and misleading, potentially undermining the seriousness of the situation.
Choice B reason: While the value should be communicated to the healthcare provider, immediate reporting is not typically required unless the client is symptomatic or experiencing complications. The nurse’s role includes assessment and education before escalation.
Choice C reason: Asking the client why their A1C is out of control may come across as accusatory and lacks therapeutic communication. It does not foster collaboration or support behavior change. The nurse should use motivational interviewing and assessment techniques instead.
Choice D reason: Exploring the diabetes self-care regimen allows the nurse to identify gaps in medication adherence, dietary habits, physical activity, and glucose monitoring. This approach supports patient-centered care and enables tailored interventions to improve glycemic control.
Correct Answer is C
Explanation
Choice A reason: Lack of breast self-exams may delay detection of breast cancer, but it is not an urgent issue. Clinical breast exams and mammography are more reliable screening tools, especially in postmenopausal women.
Choice B reason: Decreased bone density indicates osteoporosis risk, which requires follow-up but is not immediately life-threatening. It is a chronic condition that can be managed with medication and lifestyle changes.
Choice C reason: MRSA is a serious bacterial infection that is resistant to many antibiotics. Early signs require prompt medical evaluation to prevent progression to systemic infection or transmission to others. This is the most urgent concern.
Choice D reason: Unprotected sexual activity increases the risk of STIs and unintended pregnancy, which are important public health concerns. However, they do not pose an immediate health threat compared to a potentially invasive MRSA infection.
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