A student nurse is working on a community health project with her peers. One of the concerns in her community is the rise in homelessness resulting from the economy. The student nurse understands that which of the following is true?
a. Almost all homeless families are made up of single-parent families.
b. Children in homeless families are usually in good health.
c. Families with children are the fastest growing segment of the homeless population.
d. Children in homeless families have no way to attend school so are illiterate.
C
The fastest growing segment of the homeless population is families with children. This includes complete nuclear families and single-parent families. More than 794,000 homeless are enrolled in the public school systems. Children of homeless families are often in fair or poor health and have higher rates of asthma, ear infections, stomach problems, mental illness, and have poor immunization documentation. As a result, usually the only access to health care for these children is through the emergency department.
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The patient is receiving a beta-receptor antagonist medication. What is the most significant effect on cardiac function that the nurse should be monitoring for?
A) Decreased cardiac output B) Supraventricular tachycardia C) Increased stroke volume D) Increased blood pressure
The occupational health nurse is conducting yearly vision and hearing screenings. A 50-year-old man states, "My father had colon cancer. I really don't understand why they recommend a colonoscopy."
The occupational health nurse explains the need for a colonoscopy and provides the patient with additional written information. What could the nurse do to provide information to more individuals? A) Plan a health fair for the employees that provides information about age-related diseases. B) Refer every employee over the age of 50 to a gastroenterologist for a screening colonoscopy. C) Provide instruction on diet and exercise as it relates to the prevention of colon cancer in people over 50. D) Place brochures in the nurses' facility for the employees to access in answering their questions.
The nurse would consider which of the following clients at greatest risk?
A) the 22-year-old bank teller who quit smoking when she found out she was pregnant B) the 28-year-old who is pregnant with a twin pregnancy following in vitro fertilization C) the unmarried 36-year-old whose first child was born at 34 weeks' gestation D) the 19-year-old primigravida who lives in a mobile home and started prenatal care at 20 weeks
The nurse is preparing a presentation about causes of fetal organ malformation in the first trimester. What prenatal influences on the intrauterine environment should be included in this teaching? Select all that apply
1. The use of drugs 2. Maternal nutrition 3. The use of saunas or hot tubs 4. Age of the mother at conception 5. The quality of the sperm or ovum