A community health nurse is presenting an educational event at the local PTO. The nurse is providing information on rheumatic heart disease. What would the nurse tell the PTO is the most effective prevention of rheumatic heart disease?
A) Recognizing and promptly treating streptococcal infections
B) Adhering to antihypertenisve medication treatment
C) Lowering blood cholesterol
D) Smoking cessation
Ans: A
Feedback: Group A Streptococcus can cause rheumatic heart fever, resulting in rheumatic endocarditis. Being aware of signs and symptoms of streptococcal infections, identifying them quickly, and treating them promptly, are the best preventative techniques for rheumatic endocarditis. Smoking cessation, lowering cholesterol and taking antihypertensive medication will not prevent rheumatic heart disease.
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A client being discharged following treatment for a deep venous thrombosis (DVT) will be taking warfarin (Coumadin) at home. What should the nurse instruct this client?
1. "Avoid drinking any alcohol while taking this med." 2. "If you miss a dose of the drug, wait until the next day to take the next dose." 3. "Include a lot of dark green, leafy vegetables in your diet." 4. "Use over-the-counter anti-inflammatory drugs for pain or a headache."
The nurse is working on a busy cardiac unit caring for four hypertensive clients. Which client description would the nurse assess first because the client is at an increased risk for malignant hypertension?
A) A client with anorexia and history of no healthcare insurance B) A client with liver dysfunction who drinks alcohol daily C) A schizophrenic residing at an assisted living facility D) A client with chronic asthma who uses a corticosteroid inhaler
The client at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Unless you have pain with urination, we don't need to worry about it." 2. "These symptoms usually mean the baby's head has descended further." 3. "Come in for an appointment today and we'll check everything out." 4. "This might indicate that the baby is no longer in a head-down position."
A nurse implementing effective communication guidelines during an assessment interview when:
1. Looking directly at the client to ensure good eye contact. 2. Managing the conversation to avoid periods of silence. 3. Providing personal experiences to help the client focus. 4. Sitting in a chair next to the client who is in bed. 5. Keeping arms unfolded and in a relaxed position.