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?

Encourage rural residents to focus health spending on tertiary health interventions.

Launch a media campaign to increase awareness about industrial pollution.

Have a nurse from outside the community provide health lectures at the county hospital.

Provide anticipatory guidance classes to parents through public schools.

Answer and Explanation

The Correct Answer is D

A. Incorrect. Encouraging a focus on tertiary health interventions might not address the preventive health needs of the population.

B. Incorrect. While raising awareness about industrial pollution is important, it might not be the primary focus of a public health program in a rural area.

C. Incorrect. Utilizing a nurse from outside the community might not be the most effective approach for understanding the specific health needs and context of the local population.

D. Correct. Providing anticipatory guidance classes to parents through public schools is a community-based preventive approach that can address the health needs of families and children in the area.

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Correct Answer is C

Explanation

Choice C rationale:

Avoiding consuming foods containing chocolate is important for individuals with gastroesophageal reflux disease (GERD) Chocolate contains substances that can relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus, worsening GERD symptoms. Therefore, the nurse should include this information in the discharge teaching to help the client manage GERD effectively.

Choice A rationale:

Taking antacids that contain mint for heartburn is not recommended. Mint can relax the lower esophageal sphincter, similar to chocolate, potentially worsening GERD symptoms. Therefore, clients with GERD should avoid mint-containing products.

Choice B rationale:

Increasing dietary intake of citrus fruits is not advisable for individuals with GERD. Citrus fruits are acidic and can irritate the esophagus, leading to increased reflux symptoms. Clients with GERD should limit or avoid citrus fruits in their diet.

Choice D rationale:

Lying down for 30 minutes after eating a meal is not a recommended practice for individuals with GERD. Instead, clients with GERD should remain upright for at least 2-3 hours after eating to reduce the risk of reflux. Lying down shortly after a meal can worsen symptoms by allowing stomach acid to flow back into the esophagus more easily.

A. Limit oral feedings to 30 min in length. B. Check the infant's oxygen saturation every 6 hr. C. Weigh the infant every other day. D. Place the infant in the prone position for naps.

Correct Answer is A

Explanation

A. Correct. Infants with heart failure may tire easily during feedings, so limiting oral feedings to 30 minutes helps prevent excessive fatigue and ensures they are able to feed effectively without becoming overtired.
B. Incorrect. This is not frequent enough for an infant with heart failure. Oxygen saturation should be monitored more frequently, such as every 1-2 hours or as indicated by the clinical situation, to ensure adequate oxygenation and detect any changes promptly.
C. Incorrect. Weighing the infant daily is more appropriate to monitor fluid balance and heart failure progression.
D. Incorrect. Placing the infant in the prone position is contraindicated due to the risk of compromising respiratory function.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has GERD.Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a 2-month-old infant who has heart failure. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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