HESI 2
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A Explain that reporting the infection to health agencies is required.
B Urge the client to have regular STI screening every two years.
C Discuss that partners without similar symptoms may not be infected.
D Provide counseling that most contraceptives protect against infection.
- A Explain that reporting the infection to health agencies is required.
- B Urge the client to have regular STI screening every two years.
- C Discuss that partners without similar symptoms may not be infected.
- D Provide counseling that most contraceptives protect against infection.
Explanation
Correct Answer: A) Explain that reporting the infection to health agencies is required.
Chlamydia is a mandatorily reportable STI in all U.S. states. The nurse's most important response is to inform the client that the infection must be reported to public health authorities so that contact tracing and partner notification can occur. Screening every two years is insufficient — annual screening is recommended for sexually active individuals with multiple partners. Asymptomatic partners can still be infected and must be tested and treated.
A Ask the agency social worker to meet with the client about these concerns.
B Explain that the client will be referred to government subsidized hospice care.
C Assist the client in completing an application for social security disability.
D Encourage the client to ventilate concerns about the financial situation.
- A Ask the agency social worker to meet with the client about these concerns.
- B Explain that the client will be referred to government subsidized hospice care.
- C Assist the client in completing an application for social security disability.
- D Encourage the client to ventilate concerns about the financial situation.
Explanation
Correct Answer: A) Ask the agency social worker to meet with the client about these concerns.
The client is expressing complex financial and end-of-life concerns that go beyond the nurse's scope of practice to resolve alone. The most appropriate and effective action is to refer the client to a social worker, who is specifically trained to address financial concerns, insurance issues, hospice referrals, and resource navigation. While encouraging the client to express concerns is therapeutic, it does not actively address the problem.
A Caregiver stress.
B Social isolation.
C Medication interactions.
D Urinary incontinence.
- A Caregiver stress.
- B Social isolation.
- C Medication interactions.
- D Urinary incontinence.
Explanation
Correct Answer: C) Medication interactions.
In older adults with multiple comorbidities, polypharmacy and medication interactions pose the greatest immediate risk to patient safety, as they can lead to serious adverse effects, hospitalizations, or death. While caregiver stress, social isolation, and urinary incontinence are all important concerns, they do not carry the same level of acute physiological risk as harmful drug interactions.
A State law.
B Nurse Practice Act.
C The facilities nursing procedure manual.
D American Nurse Association (ANA) Code of Ethics.
- A State law.
- B Nurse Practice Act.
- C The facilities nursing procedure manual.
- D American Nurse Association (ANA) Code of Ethics.
Explanation
Correct Answer: A) State law.
Reporting of suspected elder abuse is governed by state law, which mandates who is required to report, to whom reports must be made, and the timeline for reporting. While the Nurse Practice Act and ANA Code of Ethics provide professional and ethical guidance, they do not specify the legal reporting requirements for abuse. State law is the most authoritative and specific resource guiding this legal obligation.
A Serum total cholesterol level.
B Annual flu vaccination status.
C Weight and height measurement.
D Long bone density testing.
- A Serum total cholesterol level.
- B Annual flu vaccination status.
- C Weight and height measurement.
- D Long bone density testing.
Explanation
Correct Answer: C) Weight and height measurement.
Weight and height measurements are the most fundamental and widely recommended screening tools for school-age children, as they are used to calculate BMI and identify children at risk for obesity, undernutrition, and related health conditions. Childhood obesity is a leading public health concern. Cholesterol screening and bone density testing are not routine for all elementary-age children, and flu vaccination status, while important, is not a health risk screening measure.
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