A community health nurse is preparing to collect data to study the health of a local community. The nurse should plan to obtain information about which of the following factors during a windshield survey?

The availability of religious facilities

Influenza incidence rates for the current year

The leading cause of death for the prior year

Individual perceptions about how residents interact

Answer and Explanation

The Correct Answer is A

A. The availability of religious facilities: A windshield survey involves direct observation of the community environment. Observing resources such as religious facilities, schools, parks, and stores provides information about community assets, social support, and infrastructure, which are key factors in assessing community health.

B. Influenza incidence rates for the current year: Incidence rates require access to public health records or databases, not visual observation. This type of epidemiological data is collected through statistical reports, not a windshield survey.

C. The leading cause of death for the prior year: Mortality data are obtained from health department statistics or vital records. This information cannot be gathered through direct community observation and therefore is not part of a windshield survey.

D. Individual perceptions about how residents interact: Perceptions and attitudes require interviews, surveys, or focus groups. A windshield survey captures observable, physical, and environmental characteristics, not subjective opinions, so this information would need other data collection methods.

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Correct Answer is A

Explanation

A. Hallucinations: Hallucinations are common in clients experiencing delirium, especially when it is related to a febrile or acute medical illness. They can involve seeing or hearing things that are not present and reflect the acute cognitive disturbances characteristic of delirium.

B. Agnosia: Agnosia is the inability to recognize familiar objects, people, or sounds and is more commonly associated with neurodegenerative disorders such as dementia rather than acute delirium. It is not a typical finding in febrile-induced delirium.

C. Bradycardia: Delirium related to a febrile illness usually does not cause bradycardia. Vital signs are more likely to show tachycardia due to fever or systemic infection. Bradycardia would suggest a different cardiac or medication-related issue.

D. Aphasia: Aphasia, the impairment of language expression or comprehension, is generally linked to stroke or localized brain injury. It is not a common manifestation of acute delirium caused by a febrile illness.

A. "Instill prescribed drops whenever your eyes feel irritated." B. "Apply gentle pressure to the outer corner of your eye following eye drop administration." C. “Place the tip of the container in the lower conjunctival sac to administer." D. "Wait 5 minutes before administering different eye drop medications”

Correct Answer is D

Explanation

A. "Instill prescribed drops whenever your eyes feel irritated.": Eye drops for glaucoma are prescribed on a strict schedule to maintain consistent intraocular pressure reduction. Administering them only when irritation occurs can lead to ineffective treatment and progression of optic nerve damage.

B. "Apply gentle pressure to the outer corner of your eye following eye drop administration.": The correct technique is to apply gentle pressure to the inner corner (punctal area) of the eye to prevent systemic absorption of the medication. Pressure at the outer corner does not prevent systemic effects and is not recommended.

C. "Place the tip of the container in the lower conjunctival sac to administer.": Eye drops should be placed in the lower conjunctival sac, but the instruction is incomplete without guidance on avoiding contact with the eye surface to prevent contamination. Proper placement technique includes holding the dropper above the sac without touching the eye.

D. "Wait 5 minutes before administering different eye drop medications": Waiting 5 minutes between different eye drops allows adequate absorption and prevents one medication from washing out the other. This practice optimizes therapeutic effects and minimizes interactions between multiple ocular medications.

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A community health nurse is preparing to collect data to study the health of a local community. The nurse should plan to obtain information about which of the following factors during a windshield survey?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is teaching a client who has open-angle glaucoma about eye drop administration. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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