After reviewing the objectives of Healthy People 2020, the public health nurse determines that programming for communicable diseases in the community should focus on:
a. Encouraging community members to engage in healthy behaviors
b. Identifying high-risk sexual behaviors among community members
c. Monitoring the sexual activity of adolescents
d. Providing information about the hazards of multiple sexual partners
D
Healthy People 2020 lists communicable disease as an area of focus including levels of human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), and sexually transmitted infections. One method to reduce the risk of acquiring a communicable disease is by the public health nurse providing information on the hazards of multiple sexual partners and street drug use.
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Which of the following symptoms may be the focus of a medical complaint in women infected with HIV?
A) Rashes on the face, trunk, palms, and soles B) Muscle and joint pain C) Gynecologic problems D) Weight loss
A patient tells the nurse she regularly forgets to take her antiinflammatory medication. The nurse's best response to the patient is:
1. "Medication levels need to be maintained." 2. "Take a dose when you remember." 3. "Double up on doses." 4. "Stop taking the medication."
A hospitalized client complains of fatigue, vision changes, and a significant headache. Which assessment finding would support a diagnosis of hypertension?
1. A retinal exam finding by the health care provider of microaneurysms and hard exudates 2. Blood pressure reading of 110/78 3. A one-time blood pressure reading of 140/99 4. Crackles bilaterally in all lung fields
The nurse notes that the primary health-care provider has prescribed that the total parenteral nutrition (TPN) a client has been receiving for the past 10 days be discontinued and changed to 0.9% normal saline
Which action would be most appropriate for the nurse to take? a. Stop the TPN and change the solution to 0.9% normal saline as soon as it is availa-ble. b. Allow the remaining TPN to infuse until the bag is empty and then change the so-lution to 0.9% normal saline. c. Gradually reduce the rate of the TPN over the next 4 to 6 hours and then change the solution to 0.9% normal saline. d. Question the primary health-care provider about the change because the solution is inappropriate.