A community health nurse is working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to this population?

Providing health services at work sites

Treating clients on a fee-for-service basis

Offering health screenings at a community center

Requiring clients to show a work visa before they receive care

Answer and Explanation

The Correct Answer is C

A. Migrant workers may face barriers such as irregular work hours, lack of transportation, or limited access to healthcare facilities. A community health nurse helps people in a local community however, they do not provide health services in private places like work sites.

B. Many migrant workers may have limited financial resources and may struggle with the cost of fee-for-service healthcare. This approach could create financial barriers and limit access to necessary health services for this population.

C. Community centers provide a central location where migrant workers and their families can access health screenings and other services. This approach is beneficial and accessible.

D. Requiring a work visa can exclude undocumented workers or those without proper documentation from receiving care. This requirement could prevent a significant portion of the migrant population from accessing necessary health services and does not align with the goal of providing inclusive and equitable healthcare.

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Correct Answer is B

Explanation

A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.

A. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm B. A client who has full-thickness burn injuries over 30% of his total body surface area C. A client who is exhibiting agonal respirations with fixed and dilated pupils D. An ambulatory client who has a nosebleed and reports feeling dizzy

Correct Answer is B

Explanation

In a mass casualty incident (MCI) like a train crash, triage is based on the severity of injuries and likelihood of survival using the START (Simple Triage and Rapid Treatment) system. Clients are categorized as Immediate (Red), Delayed (Yellow), Minor (Green), or Expectant (Black).

A. A client with a humerus fracture and a 2+ radial pulse (Yellow - Delayed): The client is stable and not the highest priority for immediate transport.

B. A client with full-thickness burns over 30% TBSA (Red - Immediate): This client has life-threatening injuries requiring urgent treatment for airway support, fluid resuscitation, and burn care.

C. A client with agonal respirations and fixed, dilated pupils (Black - Expectant): This client is unlikely to survive even with treatment, so in an MCI, resources should be allocated to those with a higher chance of survival.

D. An ambulatory client with a nosebleed and dizziness (Green - Minor): This client is walking wounded and can wait for medical care.

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A community health nurse is working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to this population?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?

Correct Answer is B

Explanation

A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first?

Correct Answer is B

Explanation

A nurse is planning an in-service about isolation precautions for her coworkers. For which of the following infections should the nurse identify the need for contact precautions?

A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?

A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include?

A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?

A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

Which of the following responses by the client indicates a risk for suicide, as assessed by a home health nurse caring for a client with AIDs?

A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?

A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?