Nursing Elites

1. The nurse is developing a program to educate parents on the importance of childhood immunizations. Which topic should be prioritized?

• A. the benefits of immunizations
• B. the potential side effects of vaccines
• C. the immunization schedule
• D. ways to comfort children during vaccinations

Correct answer: A

Rationale: The correct answer is A: the benefits of immunizations. Emphasizing the benefits of immunizations helps parents understand the importance of vaccines in protecting their children from preventable diseases. This choice should be prioritized as it focuses on the positive outcomes of immunizations, which can motivate parents to vaccinate their children. Choices B, C, and D are not the top priority because while it's important to address potential side effects, the immunization schedule, and comforting children during vaccinations, the main focus should be on highlighting the benefits to encourage parents to make informed decisions regarding their child's immunizations.

2. An 80-year-old client is given morphine sulfate for postoperative pain. Which concomitant medication should the nurse question that poses a potential development of urinary retention in this geriatric client?

• A. Nonsteroidal anti-inflammatory agents.
• B. Antihistamines.
• C. Tricyclic antidepressants.
• D. Antibiotics.

Correct answer: C

Rationale: The correct answer is C: Tricyclic antidepressants. Drugs with anticholinergic properties, such as tricyclic antidepressants, can exacerbate urinary retention associated with opioids in older clients. Nonsteroidal anti-inflammatory agents (Choice A) do not typically cause urinary retention. Antihistamines (Choice B) may cause urinary retention but are not the primary concern in this scenario. Antibiotics (Choice D) are not associated with an increased risk of urinary retention compared to tricyclic antidepressants.

3. A client who has been receiving chemotherapy for cancer has a platelet count of 20,000/mm3. Which intervention should the nurse include in the plan of care?

• A. Apply ice packs to bruised areas.
• B. Encourage frequent oral hygiene.
• C. Avoid invasive procedures.
• D. Place the client in a private room.

Correct answer: C

Rationale: The correct intervention for a client with a platelet count of 20,000/mm3 due to chemotherapy is to avoid invasive procedures. Chemotherapy can cause a decrease in platelet count, leading to an increased risk of bleeding. By avoiding invasive procedures, the nurse helps reduce the risk of bleeding complications. Applying ice packs to bruised areas (Choice A) may further increase the risk of bleeding due to the pressure and potential trauma to the skin. Encouraging frequent oral hygiene (Choice B) is important for overall health but does not directly address the risk of bleeding associated with a low platelet count. Placing the client in a private room (Choice D) is not directly related to managing the platelet count and risk of bleeding; it is more about privacy and infection control, which are important but not the priority in this scenario.

4. The healthcare professional is developing a health education program for adolescents on the dangers of smoking. Which strategy is most likely to be effective?

• A. showing graphic images of the effects of smoking
• B. inviting former smokers to share their experiences
• C. providing statistical data on smoking-related illnesses
• D. distributing pamphlets on smoking cessation resources

Correct answer: B

Rationale: Inviting former smokers to share their experiences is the most effective strategy because personal stories can have a powerful impact on adolescents and motivate them to avoid smoking. This approach makes the consequences of smoking more relatable and real, potentially influencing behavior change. Showing graphic images may be too harsh and could lead to desensitization or avoidance of the issue. Providing statistical data may not resonate as strongly with adolescents as personal stories. Distributing pamphlets, while informative, may not have the same emotional impact as hearing real-life experiences.

5. A public health nurse is working with a community to improve access to mental health services. Which intervention is most likely to be effective?

• A. Setting up mental health clinics in accessible locations
• B. Distributing flyers with information about mental health services
• C. Offering transportation vouchers for mental health appointments
• D. Partnering with local businesses to promote mental health

Correct answer: A

Rationale: The correct answer is A: Setting up mental health clinics in accessible locations. This intervention is the most effective as it directly addresses the issue of access to mental health services by physically bringing the services closer to the community members. Distributing flyers (choice B) may raise awareness but does not guarantee improved access. Offering transportation vouchers (choice C) helps with transportation but does not address the primary issue of service availability. Partnering with local businesses (choice D) may help promote mental health awareness but does not ensure improved access to services like setting up clinics in accessible locations.

Similar Questions