a client with a history of deep vein thrombosis dvt is receiving warfarin coumadin the nurse should monitor the client for which of the following labo

HESI LPN

Community Health HESI Test Bank

1. A client with a history of deep vein thrombosis (DVT) is receiving warfarin (Coumadin). The nurse should monitor the client for which of the following laboratory values?

A. Prothrombin time (PT)
B. Serum potassium
C. Blood urea nitrogen (BUN)
D. White blood cell count (WBC)

Correct answer: A

Rationale: The correct answer is A: Prothrombin time (PT). Prothrombin time is monitored to assess the effectiveness of warfarin therapy. Warfarin is an anticoagulant medication that works by inhibiting the synthesis of vitamin K-dependent clotting factors, including factors II, VII, IX, and X. Monitoring the PT helps ensure that the client's blood is clotting within the desired therapeutic range to prevent complications such as recurrent DVT or excessive bleeding. Choices B, C, and D are incorrect because serum potassium, blood urea nitrogen, and white blood cell count are not directly related to monitoring warfarin therapy in a client with a history of DVT.

2. What title should be given to this occupational health nurse job description? A registered nurse with expertise in health promotion, illness and injury prevention, risk reduction, and adult learning principles.

A. case manager
B. health educator
C. nurse consultant
D. health promotion specialist

Correct answer: D

Rationale: The correct answer is 'D: health promotion specialist.' This title aligns with the described expertise in health promotion, illness and injury prevention, and risk reduction. A health promotion specialist focuses on promoting health and preventing illnesses, which directly corresponds to the skills mentioned in the job description. Choices A, B, and C are incorrect. A 'case manager' typically focuses on coordinating patient care, 'health educator' specifically emphasizes educating individuals on health topics, and a 'nurse consultant' offers expert advice and support in the nursing field but may not specialize in health promotion and risk reduction as required in this job description.

3. As community health nurses engage in the process of community empowerment, it is essential that they:

A. gather data from the community
B. form partnerships with people in the community
C. make decisions for the people in the community
D. accept responsibility for people's actions

Correct answer: B

Rationale: In the process of community empowerment, community health nurses should form partnerships with the community rather than making decisions for them, gathering data alone, or accepting responsibility for their actions. Forming partnerships ensures that the community is actively involved in decision-making processes, leading to sustainable and effective outcomes. Gathering data is important but not the central aspect of empowerment, while accepting responsibility for people's actions is not a core principle of empowerment but rather promoting accountability within the community.

4. What does the term 'health disparity' refer to?

A. Equal access to healthcare for all individuals
B. Differences in health outcomes between different population groups
C. High-quality healthcare for everyone
D. Providing the same treatments to everyone

Correct answer: B

Rationale: The correct answer is B. 'Health disparity' refers to differences in health outcomes between different population groups. This term highlights variations in health status or in the distribution of health determinants between different population groups. Choice A is incorrect as health disparity is about health outcomes, not just access to healthcare. Choice C is too broad and not specific to the concept of health disparity. Choice D is incorrect as health disparity recognizes that different populations may need tailored or different treatments based on their specific health needs.

5. Which of the following is the earliest school of nursing in the country?

A. Iloilo Mission Hospital School of Nursing
B. St. Paul's Hospital School of Nursing
C. University of Sto. Tomas College of Nursing
D. Manila Central University

Correct answer: A

Rationale: The correct answer is A: Iloilo Mission Hospital School of Nursing. This nursing school holds the distinction of being the earliest in the Philippines. St. Paul's Hospital School of Nursing, University of Sto. Tomas College of Nursing, and Manila Central University are not the oldest nursing schools in the country, making them incorrect choices.