A site that provides primary health care services to children and youths by nurse practitioners in the school setting is
1. A primary care clinic
2. A school-based health center
3. School health services
4. A child health improvement plan
ANS: 2
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Mr. Arbor presents to the emergency department with a history of sudden-onset abdominal pain, fever, vomiting, and diarrhea. The LPN should consider (assuming orders)
a. Obtaining a stool culture b. Interviewing carefully to determine recent food intake c. Washing hands frequently d. All of the above
A client has an intraventricular catheter. What action by the nurse takes priority?
a. Document intracranial pressure readings. b. Perform hand hygiene before client care. c. Measure intracranial pressure per hospital policy. d. Teach the client and family about the device.
The nurse in the intensive care unit (ICU) has just received a patient from the obstetrics unit who is in hypovolemic shock due to massive blood loss during delivery. The nurse is aware that the best choice for fluid replacement will be:
A) 5% albumin because it is inexpensive and is always readily available B) Dextran because it increases intravascular volume and counteracts coagulopathy C) Whatever fluid is most readily available in the ICU, due to the nature of the emergency D) Ringer's lactated solution is used because it increases volume, buffers acidosis, and is the best choice for patients with liver failure.
A woman is scheduled for an anterior and posterior culporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include?
A) "This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position." B) "Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder." C) "This is a series of exercises that you will learn how to do so that you can strengthen your bladder muscles." D) "These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position."