A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family
Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
A) Make immunization appointments for the children in a nearby town's public health clinic.
B) Help the family find funding and manpower to patch and repair the roof of their home.
C) Determine the educational readiness of the two children.
D) Report the family for child abuse because of neglect.
B
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An older adult client with chronic heart failure is found to have cardiomegaly. The client asks you to explain what has caused this problem. Which of the following would be most accurate?
1. Damage from bacteria collecting on heart valves 2. Being too sedentary or immobile for years 3. Decreased elasticity of the arteries and veins 4. Elevated cholesterol and triglyceride levels
A client suffering from chronic obstructive pulmonary disease (COPD) complains that it is hard to cough up secretions and they are thick and sticky. The nurse should instruct the client to:
A) increase her fluid intake to thin secretions. B) eat small, frequent meals to conserve energy. C) decrease exercise and increase rest periods. D) take a cough suppressant to decrease coughing.
Which of the following ion exchanges occur in the distal convoluted tubule?
A. Na+ for H+ and Na+ for Cl- B. Na+ for H+ and Na+ for HCO3- C. Na+ for H+ and Na+ for K+ D. Na+ for Ca+ and Na+ for K+
The nurse is caring for a client scheduled for surgery the next day. On what should the nurse focus to determine this client's level of stress? Select all that apply
1. The surgical procedure 2. The client's religious beliefs 3. If the surgery is going to alter the client's life 4. Client's perception of the surgical experience 5. Number of stress-producing events in the client's recent past