Nursing Elites

1. Prior to initiating a community health program targeting teenage smoking, what information is most important for the nurse to obtain?

• A. The incidence of smoking among the teenage population in this community.
• B. The amount of available funding for tobacco prevention education programs.
• C. The target objectives for teenage smoking described by Healthy People 2020.
• D. Satisfaction data from programs that targeted the teenage population in this community.

Correct answer: A

Rationale: The most important information for the nurse to obtain before initiating a community health program targeting teenage smoking is the incidence of smoking among the teenage population in the community. Understanding the prevalence of smoking will help in designing effective intervention strategies. Choice B about funding, while important, is secondary to understanding the scope of the issue. Choice C, the target objectives from Healthy People 2020, may provide guidance but are not as crucial as knowing the local prevalence. Choice D, satisfaction data from previous programs, does not provide essential information for planning a new program.

2. A client with heart failure is receiving digoxin (Lanoxin). The nurse should monitor the client for which of the following signs of digoxin toxicity?

• A. Tachycardia
• B. Hypotension
• C. Bradycardia
• D. Hyperglycemia

Correct answer: C

Rationale: The correct answer is C: Bradycardia. Digoxin toxicity often presents with bradycardia, which is a common sign of toxicity associated with this medication. Tachycardia (Choice A) is not typically seen with digoxin toxicity. Hypotension (Choice B) can occur but is less specific to digoxin toxicity. Hyperglycemia (Choice D) is not a typical sign of digoxin toxicity. Therefore, monitoring for bradycardia is crucial in clients receiving digoxin to detect toxicity early.

3. What does the acronym ICD stand for in medical terminology?

• A. International Classification of Diseases
• B. Internal Care Documentation
• C. Intensive Care Division
• D. Integrated Care Department

Correct answer: A

Rationale: The correct answer is A: International Classification of Diseases. The ICD is a system used worldwide to classify and code various health conditions and diseases. This system helps in standardizing the documentation and coding of diseases, which is essential for epidemiology, research, and healthcare management. Choices B, C, and D are incorrect as they do not represent the widely recognized meaning of the acronym ICD in medical terminology.

4. In addition to disturbances in mental awareness and orientation, a client with cognitive impairment is also likely to show loss of ability in

• A. Hearing, speech, and sight
• B. Endurance, strength, and mobility
• C. Learning, creativity, and judgment
• D. Balance, flexibility, and coordination

Correct answer: C

Rationale: Individuals with cognitive impairment often experience difficulties in learning new information, creative thinking, and making sound judgments. Loss of ability in hearing, speech, and sight (Choice A) is more closely related to sensory impairments rather than cognitive impairment. Endurance, strength, and mobility (Choice B) are more associated with physical capabilities rather than cognitive functions. Balance, flexibility, and coordination (Choice D) are related to motor skills and physical coordination, not cognitive impairment.

5. What is a key component of a successful smoking cessation program?

• A. Providing nicotine replacement therapy
• B. Offering surgical interventions
• C. Conducting regular health screenings
• D. Promoting alcohol consumption

Correct answer: A

Rationale: The correct answer is A. Providing nicotine replacement therapy is a key component of smoking cessation programs as it helps individuals manage nicotine withdrawal symptoms. Nicotine replacement therapy includes options like nicotine gum, patches, lozenges, or inhalers. Choice B, offering surgical interventions, is incorrect as smoking cessation programs primarily focus on behavioral and pharmacological interventions rather than surgical procedures. Choice C, conducting regular health screenings, is also incorrect as it is not a direct key component of smoking cessation programs. Choice D, promoting alcohol consumption, is not only incorrect but counterproductive, as it can be detrimental to overall health and hinder smoking cessation efforts.

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