A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?
Provide anticipatory guidance classes to parents through public schools.
Launch a media campaign to increase awareness about industrial pollution.
Encourage rural residents to focus health spending on tertiary health interventions.
Have a nurse from outside the community provide health lectures at the county hospital.
The Correct Answer is A
A. Correct – Anticipatory guidance (e.g., child development, injury prevention, nutrition) in schools helps promote preventive healthcare in rural areas.
B. Incorrect – While pollution awareness is important, industrial pollution may not be the most immediate health concern for this rural community.
C. Incorrect – Encouraging spending on tertiary care (treatment of existing disease) is less effective than focusing on primary and secondary prevention.
D. Incorrect – Using local healthcare providers increases trust and participation; bringing in an outside nurse may not be as effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
After notifying the provider, the nurse should first administer oxygen at 2L/min via nasal cannula and then administer sublingual nitroglycerin.
Rationale:
Step 1: Administer Oxygen at 2L/min via Nasal Cannula
The client's oxygen saturation has dropped from 97% to 92% on room air, which indicates potential myocardial oxygen demand exceeding supply. Oxygen therapy helps improve myocardial oxygenation, which is crucial for clients with suspected acute coronary syndrome (ACS).
Step 2: Administer Sublingual Nitroglycerin
The client’s chest pain has worsened (increased from 4/10 to 7/10) and is associated with shortness of breath, which suggests possible myocardial ischemia. Nitroglycerin causes vasodilation, reducing myocardial oxygen demand and improving coronary perfusion.
It is a first-line treatment for suspected angina or acute coronary syndrome (ACS).
Incorrect Options
Step 1:
Prepare the client for cardiac catheterization: While a catheterization may be necessary, immediate interventions (oxygen, nitroglycerin) take priority before an invasive procedure.
Request a prescription for an increase in statin medication: Adjusting statins is a long-term strategy; it does not address the acute issue of chest pain and shortness of breath.
Step 2:
Request a prescription for a beta-blocker: Beta-blockers reduce heart rate and myocardial oxygen demand, but nitroglycerin provides more immediate relief for chest pain.
Check a STAT cardiac troponin: A repeat troponin may be necessary, but the initial focus is on stabilizing the client’s oxygenation and relieving chest pain.
Correct Answer is A
Explanation
A. Correct – Clean, cotton socks help keep the feet dry and reduce the risk of infection.
B. Incorrect – Soaking the feet can lead to skin breakdown and increase the risk of infection.
C. Incorrect – Moisturizing between the toes can promote fungal growth and infection.
D. Incorrect – Toenails should be trimmed straight across to prevent ingrown nails and infections.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.