Nursing Elites

1. The healthcare provider is conducting a health assessment for a family in a rural area. Which intervention should the healthcare provider prioritize to address the family's health needs?

• A. Providing information on local healthcare resources
• B. Teaching the family about proper nutrition
• C. Assisting the family in scheduling medical appointments
• D. Connecting the family with transportation services

Correct answer: A

Rationale: In rural areas, access to healthcare may be limited. Providing information on local healthcare resources is essential to ensure the family can access necessary services. While proper nutrition (choice B) and medical appointments (choice C) are important, having access to healthcare resources is fundamental. Transportation services (choice D) may be helpful but addressing the availability of healthcare resources should be the priority.

2. A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which action should the nurse take?

• A. encourage the teenager to join the swim team instead of the football team
• B. notify the parents of the problems associated with perspiration for those with eczema
• C. tell the teenager to shower with a non-perfumed soap immediately after practice
• D. inform the football coach of the teenager's skin condition and its manifestations

Correct answer: C

Rationale: The correct action for the nurse to take is to advise the teenager to shower with a non-perfumed soap immediately after practice. This recommendation can help reduce the risk of eczema flare-ups by removing sweat and irritants from the skin. Choice A is incorrect as it does not address the specific concerns related to eczema and football. Choice B, notifying the parents of perspiration problems, is not as direct as instructing the teenager on proper skincare. Choice D, informing the football coach, is not the most immediate and relevant action to address the teenager's individual needs.

3. The nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate intervention?

• A. Jaundice.
• B. Ascites.
• C. Peripheral edema.
• D. Spider angiomas.

Correct answer: D

Rationale: Spider angiomas are abnormal clusters of blood vessels near the skin surface and can be indicative of an underlying liver condition. In the context of liver cirrhosis, spider angiomas can suggest portal hypertension and liver dysfunction, which requires immediate intervention. Jaundice (choice A) is a common manifestation of liver cirrhosis but not typically an immediate intervention priority unless severe. Ascites (choice B) and peripheral edema (choice C) are also common in liver cirrhosis but do not require immediate intervention unless they are causing respiratory compromise or other urgent issues.

4. The nurse is planning a health education program for 10-year-olds. Which setting is most likely to increase the preadolescents' participation in the program?

• A. the school classroom
• B. community center
• C. home of one of the children
• D. a local place of worship

Correct answer: A

Rationale: The school classroom is the most suitable setting to increase preadolescents' participation in a health education program. At the age of 10, children are accustomed to the school environment, making it familiar and comfortable for them. This familiarity can help reduce anxiety and increase engagement during the program. Community centers may be less familiar and could pose distractions, potentially reducing participation. Conducting the program at the home of one of the children may lead to unequal access for other participants and may not provide the necessary facilities for an educational session. A local place of worship may not be perceived as a neutral or suitable environment for a health education program, potentially hindering participation.

5. The nurse is assessing a client with pneumonia who is receiving oxygen therapy. Which finding indicates that the therapy is effective?

• A. The client's respiratory rate is 20 breaths per minute.
• B. The client's arterial blood gases show a pH of 7.35.
• C. The client's oxygen saturation is 92%.
• D. The client's breath sounds are clear.

Correct answer: A

Rationale: A respiratory rate of 20 breaths per minute indicates effective oxygen therapy. In pneumonia, the respiratory rate typically increases due to the body's effort to improve oxygenation. Option B (pH of 7.35) is related to acid-base balance, not specifically indicating oxygen therapy effectiveness. Option C (oxygen saturation of 92%) is below the normal range (95-100%), suggesting the need for oxygen therapy. Option D (clear breath sounds) is a positive finding but not a direct indicator of oxygen therapy effectiveness.

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