An APHN has recently been hired by a public health department. Which of the following best describes what the PHN will most likely be doing in this role?
a. Diagnosing health problems
b. Managing chronic disease
c. Limiting disability
d. Conducting community assessments
ANS: D
Practicing within the role of clinician, the APHN is involved in conducting community assess-ments; identifying needs of populations at risk; and planning, implementing, and evaluating pop-ulation-focused programs to achieve health goals. Diagnosing health problems, managing chronic disease, and limiting disability are roles of an NP.
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A nurse is working on a medical unit in an acute care hospital. One of the patients she is caring for has a fever of 100.6° F. Which of the following is the best reason why the patient should not receive an antipyretic at this time?
a. A temperature of 100.3° F is within the normal range. b. Shivering is a more effective way to dissipate heat energy. c. Corticosteroids are safer to use than antipyretics. d. Mild fevers are an important defense mechanism of the body.
The nurse is working in a long-term care facility. As clients are assessed, the nurse notes that one client is confused and incontinent, which is new behavior for the client. The nurse should further assess the client, suspecting:
1. the client has had a stroke. 2. the client's oxygen level is decreased. 3. the client has cystitis. 4. the client has kidney stones.
The client is brought to the Emergency Department by the police. There are numerous large areas of bruising around the client's throat and upper arms, the client's lip is cut, and the client's clothes are ripped
The documentation that is most correctly written for this situation is: A) Client brought to ED by police. Bruising to throat and upper arms, measuring ____–_____ cm. Clothes ripped. B) Police brought client to the ED after getting beat up. Clothes ripped, bruising to throat and upper arms. Lip cut. C) Client had areas of bruising on throat and upper arms, as if someone had choked the client. Clothing ripped. D) Client brought to the ED, victim of some type of abuse, in the custody of the police.
Identify the initial action by the ER nurse that is most appropriate for a 42-year-old woman diagnosed with a mood disturbance disorder who overdoses on amitriptyline (Elavil)
a. Induce vomiting by administering 30 mL of syrup of Ipecac. b. Initiate an IV of normal saline at 200 mL per hour. c. Lavage the stomach with a #14 nasogas-tric tube to prevent trauma. d. Administer activated charcoal 50 g every 4 hours for 24 hours.