The community/public health nurse was excited about creating a program for prenatal education and care for single teenage mothers. Before writing an application for a grant to fund the program, what should the nurse determine?
a. Agency's policies about writing grants for such a program
b. Number of single teenage mothers in the local high schools
c. Whether local teenagers are interested in receiving such a service
d. Whether anyone else in the area is offering such a service
ANS: D
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The nurse is assessing a patient with possible cardiomyopathy and assesses the hepatojugular reflux. If heart failure is present, then the nurse should recognize which finding while pushing on the right upper quadrant of the patient's abdomen,
just below the rib cage? a. The jugular veins will rise for a few seconds and then recede back to the previous level if the heart is properly working. b. The jugular veins will remain elevated as long as pressure on the abdomen is maintained. c. An impulse will be visible at the fourth or fifth intercostal space at or inside the midclavicular line. d. The jugular veins will not be detected during this maneuver.
Which client is at greatest risk for developing hyponatremia?
A. 35-year-old client who is NPO and receiving D5W as the mainstay of intravenous therapy B. 45-year-old client who is taking a sulfonamide antibiotic for a urinary tract infec-tion C. 55-year-old client who is taking ibuprofen for a sprained ankle D. 65-year-old client who is taking digoxin
The nurse should explain to new parents that their infant's position should be changed periodically during the early months of life to prevent:
1. Muscle contractures. 2. Respiratory distress. 3. Permanently flattened areas of the skull. 4. Esophageal reflux.
A patient has complained several times of minor gastrointestinal pain, flatulence, and diarrhea after meals. A nurse identifies that this is most likely caused by
1. Anaphylaxis. 2. Food intolerance. 3. A food allergy. 4. Food poisoning.