There are eight principles that distinguish public health nursing from other nursing specialties included in the Scope and Standards of Public Health Nursing Practice. Which of the following are included in these principles? Select all that apply
1. The client or "unit of care" is the population.
2. Primary prevention is the priority in selecting appropriate activities.
3. Acute care should always be the primary concern of public health nurses.
4. Government agencies mandate requirements for public health.
ANS: 2, 3
The eight principles include that acute care should always be the primary concern of public health nurses and that government agencies mandate requirements of public health.
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At 4 AM, the hemodynamic monitor for a critically ill client in the intensive care unit indicates that the client's mean arterial pressure is at the low end of the normal range; at 6 AM, the client's MAP has fallen definitively below normal. The client is
A) pulmonary hypertension. B) left ventricular hypertrophy. C) organ damage and hypovolemic shock. D) orthostatic hypotension.
The nurse is subpoenaed to provide information about a patient's injuries sustained in a criminal case. The hospital's attorney tells her she must comply. Which statement best describes how the nurse should respond?
1. Plead the Fifth Amendment in this case. 2. Refuse to give any information about the patient. 3. Disclose any information she knows about the patient. 4. Answer questions with the minimum information needed.
A patient is brought by friends to the ED after being involved in a motor vehicle accident. The patient sustained blunt trauma to the abdomen. What nursing action would be most appropriate for this patient?
A) Ambulate the patient to expel flatus. B) Place the patient in a high Fowler's position. C) Immobilize the patient on a backboard. D) Place the patient in a left lateral position.
A patient taking a nonsteroidal anti-inflammatory drug (NSAID) tells you that the drug causes an upset stomach. What is your best response?
a. "Always take this drug with food or with milk." b. "Stop taking the drug and notify your prescriber." c. "Try chewing the drug instead of swallowing it whole." d. "Take the drug on an empty stomach to avoid vomiting."