A PHN is working in the public health department in San Diego County. After a recent storm, the department begins to conduct water testing to ensure that the ocean water is safe to swim in

Testing results reveal that the level of bacteria is 10 times the acceptable limit. How does the nurse proceed?
A. Issue a public health statement informing residents of the risk of swimming.
B. Close the beaches until the levels return to normal.
C. Treat the water with anti-microbial agents.
D. Issue a boil water alert.


ANS: B

Nursing

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A nurse cares for a client who is prescribed patient-controlled analgesia (PCA) after a cholecystectomy. The client states, "When I wake up I am in pain." Which action should the nurse take?

a. Administer intravenous morphine while the client sleeps. b. Encourage the client to use the PCA pump upon awakening. c. Contact the provider and request a different analgesic. d. Ask a family member to initiate the PCA pump for the client.

Nursing

While auscultating the patient's heart sounds, the nurse hears an additional sound immediately following S2. The nurse would conduct further assessment for which condition?

1. Ventricular volume overload 2. Ventricular hypertrophy from hypertension 3. Atrial fibrillation 4. A stenotic aortic valve

Nursing

The nurse is planning care for a patient with fluid-volume overload and hyponatremia. Which of the following should be included in this patient's plan of care?

1. Restrict fluids. 2. Administer intravenous fluids. 3. Provide Kayexalate. 4. Administer intravenous normal saline with furosemide.

Nursing

A patient is prescribed IV fluid to replace electrolytes and expand plasma volume. Which type of fluid will the nurse provide to the patient?

a. Isotonic solution b. Dextrose solution c. Hypotonic solution d. Hypertonic solution

Nursing