A district health nurse is assigned to two rural counties in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail older clients in the two counties, the nurse should consider using what community-oriented nursing skill?
A. Assessment
B. Case management
C. Geriatrics
D. Tertiary prevention
Ans: B. Case management
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A 21-year-old male is being started on zidovudine (AZT) for treatment of HIV/AIDS. Which of the following statements made by the patient indicates that he has understood the patient teaching?
A) "AZT inactivates the virus and prevents recurrence of the disease." B) "AZT therapy may result in the development of AZT-resistant strains." C) "AZT slows the progression of the disease but does not cure it." D) "AZT prevents the occurrence of opportunistic infections."
A 25-year-old primigravida is 20 weeks pregnant. At the clinic, her nurse begins a prenatal assessment and obtains the following vital signs. Which finding would require the nurse to contact the physician?
1. Pulse 88/min 2. Respirations 30/min 3. Temperature 37.4°C (99.3°F) 4. Blood pressure 134/82
A young female patient with HIV does not want to see the gynecologist because, she says, "I'm going to die anyway." How should the nurse respond?
1. "Having a PAP smear will help detect the onset of cervical cancer." 2. "Why do you think you are going to die?" 3. "The gynecologist will help diagnose any Hodgkin disease." 4. "But you still should be on birth control."
A patient is recovering after receiving sedation for a contrast medium study and has a score of 1 using the Modified Ramsay Sedation Scale. What action by the nurse is most appropriate at this time?
a. Document these normal findings. b. Prepare to increase the oxygen flow. c. Administer a drug-reversal agent. d. Listen to the breath sounds.