At a patient care planning conference, the nurse hears the remark, "We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the

a. American Cancer Society.
b. Visiting Nurse Association.
c. National Easter Seal Society.
d. local health department.


ANS: D
Local health departments are examples of official public health agencies.

Nursing

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The nurse is caring for a patient who is recovering from gastroenteritis. The nurse teaches the patient about dietary recommendations as the digestive system recovers. Which menu selection by the patient indicates that additional teaching is needed?

a. Applesauce b. Orange Popsicle c. White toast d. Coffee with cream

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A nurse is preparing a patient for arteriography. Before administering the contrast medium, the nurse should ask the patient if they are allergic to

1. Iodine. 2. Radiopaque dye. 3. Shellfish. 4. All of the above.

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A patient asks the healthcare professional why tissue damage occurs in acute rejection after organ transplantation. What response by the professional is best?

a. Th1 cells release cytokines that activate infiltrating macrophages, and cytotoxic T cells directly attack the endothelial cells of the transplanted tissue. b. Circulating immune complexes are deposited in the endothelial cells of transplanted tissue, where the complement cascade lyses tissue. c. Receptors on natural killer cells recognize antigens on the cell surface of transplanted tissue, which releases lysosomal enzymes that destroy tissue. d. Antibodies coat the surface of transplanted tissue to which mast cells bind and liberate preformed chemical mediators that destroy tissue.

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A patient is instructed on the role of diet, exercise, and medication to control type 2 diabetes mellitus. Which core competency for healthcare professionals is the nurse implementing?

A. Evidence-based practice B. Quality improvement C. Patient-centered care D. Teamwork and collaboration

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