Which is not an activity of public health?
a. Direct clinical services
b. Disease outbreak management
c. Bariatric surgery because obesity is a national public health problem
d. Rat and mosquito abatement
ANS: C
Although obesity is a national public health problem, public health does not provide surgical services. Surgical services are typically provided in the acute care or outpatient care settings. The other responses are activities of public health.
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A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise. What explanation should the nurse offer her? After menopause:
a. Only women with large breasts experience sagging. b. Sagging is usually due to decreased muscle mass within the breast. c. A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging. d. The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.
A patient is demonstrating signs of ineffective peripheral tissue perfusion. What intervention would be appropriate for this patient?
1. Encourage patient to reduce level of exercise. 2. Discuss smoking cessation techniques. 3. Keep extremities cool. 4. Assist with pillow placement under knees.
A patient is having a creatine kinase (CK) level drawn. For which health problem would the nurse expect this level to be elevated?
1. juvenile rheumatoid arthritis 2. gout 3. muscle disease 4. bone tumors
A client has been prescribed sulfasalazine (Azulfidine) for treatment of ulcerative colitis. Which nursing assessment question is essential?
1. "How long have you had ulcerative colitis?" 2. "What are you allergic to?" 3. "Are you lactose intolerant?" 4. "Do you have to stand in one place for long periods of time at your work?"