When would it be appropriate for a nurse to use a Geographic Information System (GIS)?

a. Recording client data collected at a foot clinic
b. Determining neighborhoods that have an increased incidence of lead poisoning
c. Evaluating effectiveness of a farm safety program
d. Scheduling health promotion programs in the community


ANS: B
The use of a GIS allows the PHN to apply the principles of epidemiology into practice. GIS al-lows nurses to code data so that it is related spatially to a place on earth and is helpful in deter-mining concentrated areas for incidence of disease and illness. An electronic health record (EHR) would be the most appropriate place to record client data from a foot clinic. Evaluation of effec-tiveness of a farm safety program would need to be done through some type of assessment or evaluation method—GIS would not be useful to collect this data. GIS is not a scheduling system and would not be helpful when scheduling health promotion programs in the community.

Nursing

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While admitting a client who speaks no English, the nurse opts to use the hospital translator instead of a family member for which of the following reasons?

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Which of the following parameters would be most useful in calculating drug dosages for a child?

a. Height b. Weight c. Age d. Body surface area

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A nurse is teaching a patient who has chronic renal failure who will begin receiving epoetin alfa [Epogen] about this drug therapy. Which statement by the patient indicates understanding of the teaching?

a. "If I have to start dialysis, I will have to stop taking this drug." b. "Taking this drug will not eliminate my need for blood transfusions." c. "Taking this medication will prevent the need for dialysis in the future." d. "When I take this, my serum ferritin levels will increase."

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What respiratory condition or disease results in both increased compliance and increased resistance?

a. Asthma b. Atelectasis c. Surfactant deficiency d. Bronchopulmonary dysplasia

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