RN Community Health Online Practice 2019 A (1) Retake (50 Questions and Answers With Rationale; Latest updates |Multiple Choice

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RN Community Health Online Practice 2019 A (1) Retake (50 Questions and Answers With Rationale; Latest updates |Multiple Choice A nurse in a clinic is planning teaching for a client who was newly d ... iagnosed with Hepatitis C. Which of the following instructions should the nurse include in the teaching? a. Consume a low-carbohydrate diet until symptoms resolve. b. Schedule an appointment for an immunoglobulin injection. c. Abstain from sexual intercourse until antibody tests are negative. d. Wear a mask in public places while receiving treatment. {{Correct Ans- Abstain from sexual intercourse until antibody tests are negative. Consume a low-carbohydrate diet until symptoms resolve.The nurse should instruct the client to consume a diet that is high in carbohydrates and calories as part of the management of viral hepatitis. Schedule an appointment for an immunoglobulin injection.Postexposure prophylaxis is available for hepatitis A, not hepatitis C. Abstain from sexual intercourse until antibody tests are negative.MY ANSWERHepatitis C is transmitted through sexual intercourse. Therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests are negative. Wear a mask in public places while receiving treatment.Hepatitis C is transmitted through blood and body fluids. Therefore, it is not necessary for the client to follow airborne precautions. A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should ID that which of the following alternative therapies is contraindicated for the client? a. Hippotherapy for a school-age child who has cerebral palsy b. Acupressure therapy for a client who has back pain c. Kava for a client who has cirrhosis d. Valerian for a client who has anxiety and insomnia {{Correct Ans- Kava for a client who has cirrhosis. Hippotherapy for a school-age child who has cerebral palsyHippotherapy, or horse riding, has proven to be helpful for children who have cerebral palsy. Other methods helpful for children who have cerebral palsy include color-light therapy and pet therapy. Acupressure therapy for a client who has back painAcupressure can be safely used by clients who have back pain to promote comfort. Other methods to promote comfort include massage and therapeutic touch. Kava for a client who has cirrhosisMY ANSWERAlthough kava has been used to promote sleep, it can cause severe liver damage, which can lead to the need for a liver transplant. Using kava could worsen the condition of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives with the client. Valerian for a client who has anxiety and insomniaAlthough valerian has not been proven to be effective in relieving insomnia, this situation does not indicate a safety concern. A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following info should the nurse include? a. Household members should be placed in respiratory isolation. b. Wear a mask in the home. c. Household members should take isoniazid for at least 6 months. d. Have a repeat Mantoux test in 3 months. {{Correct Ans- Household members should take isoniazid for at least 6mo. Household members should be placed in respiratory isolation.MY ANSWERRespiratory isolation is not necessary for the household members of a client who has active pulmonary tuberculosis. Wear a mask in the home.It is not necessary for a client who has active pulmonary tuberculosis to wear a mask in the home setting. Household members should take isoniazid for at least 6 months.The household members of a client who has active pulmonary tuberculosis are at risk for developing the disease. Therefore, taking isoniazid prophylactically for at least 6 months is recommended. Have a repeat Mantoux test in 3 months.A client who has active pulmonary tuberculosis should receive a chest x-ray for future screenings. A nurse in a rural community is planning edu for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? -Provide environmental health information. -Refer the client for a tuberculosis screening. -Provide skin cancer information. -Recommend a dental health screening. -Provide forms to apply for Medicare. {{Correct Ans- - Provide envi health information .- Refer the client for a TB screening - Provide skin cancer info - Recommend a dental health screening Provide environmental health information is correct. Migrant farm workers are at risk for exposure to pesticides and other hazardous materials that could be harmful. Therefore, the nurse should include environmental health information in the client's education. Refer the client for a tuberculosis screening is correct. Rates of tuberculosis are estimated to be higher among migrant farm workers due to crowded living conditions and substandard housing. Therefore, the nurse should include a tuberculosis screening in the client's education. Provide skin cancer information is correct. Due to working outdoors, skin cancer is a health risk for migrant farm workers. Therefore, the nurse should include information about skin cancer in the client's education. Recommend a dental health screening is correct. Dental problems are a primary health risk for migrant farm workers. Therefore, the nurse should include information about dental health in the client's education. Provide forms to apply for Medicare is incorrect. To be eligible for Medicare, individuals must meet an age requirement or be permanently disabled. Therefore, the nurse should not include Medicare information in the client's education. [Show More]

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