Nursing Elites

1. What action would be most effective for addressing environmental health issues in a community?

• A. Educating the community about safe disposal of hazardous waste
• B. Conducting air and water quality assessments
• C. Advocating for policies to reduce pollution
• D. Implementing community clean-up programs

Correct answer: D

Rationale: Implementing community clean-up programs is the most effective action to address environmental health issues in a community. By organizing clean-up initiatives, pollution can be reduced, and living conditions can be improved. This hands-on approach directly tackles the environmental hazards present in the community, making it a proactive and impactful solution.

2. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

3. Which is a primary focus of health promotion activities?

• A. Preventing the onset of disease
• B. Detecting diseases early to improve outcomes
• C. Managing chronic conditions to improve quality of life
• D. Providing treatment for existing health conditions

Correct answer: A

Rationale: The correct answer is A: Preventing the onset of disease. Health promotion activities aim to prevent the occurrence of diseases by promoting healthy behaviors and creating supportive environments. By encouraging preventive measures such as vaccination, healthy eating, regular exercise, and stress management, individuals can reduce their risk of developing various illnesses. Detecting diseases early (choice B) focuses more on screening and early diagnosis rather than prevention. Managing chronic conditions (choice C) and providing treatment for existing health conditions (choice D) are important aspects of healthcare but are not the primary focus of health promotion activities, which emphasize disease prevention.

4. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

5. After organizing, follow-up visits are also necessary. What should you do first?

• A. Explain the purpose of the visit
• B. Wash your hands and perform the necessary procedure
• C. Conduct environmental surveillance
• D. Greet the patient/resident and introduce yourself

Correct answer: A

Rationale: Explaining the purpose of the visit is the first step in a follow-up visit as it establishes the reason for the interaction. This communication helps set expectations for both the provider and the patient/resident, ensuring that the visit is focused and productive. It allows the patient/resident to understand the goals of the follow-up and promotes a patient-centered approach to care.

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