communist ex

family of a patient with Hepatitis A who experiences anorexia, fatigue, jaundice , what is the next step for the patient's spouse and adult children living at home

receive gamma globulin

tertiary prevention for pregnant teens, teen mothers

referrals for support, direct individual care, nutritional services services include SNAP, TNF, WIC

In which stage of syphilis would the following clinical manifestations be found: sore throat, rash, history of a healed chancre from 3 months ago?

secondary

Level of prevention: screening for health problems, caring for ill / injured children and staff

secondary

a client presents with a sore throat and a generalized rash. the client reports that a chancre that had been present healed approximately 3 months ago. serological test findings indicate a diagnosis of syphilis. which stage of syphilis is the client in at this time?

secondary

level of prevention: o Emergency plan and emergency equipment o Giving medication in school o Assessing and screening o Identification of child abuse or neglect o Communicating with health care providers o Screening for at risk for suicide o Monitoring violence at school

secondary

how to test for meningitis

spinal tap to check CSF

precautions when caring for patient with hepatitis A

standard precautions --> use gloves when handling excretions (poop, urine, nasotracheal secretions)

with a person with no risk factors for tuberculosis, an induration _____ or more is a positive result.

15 mm or more is positive in no risk factor people

Life Education

primary prevention = education to prevent lice secondary = screening for lice tertiary = treatment, special shampoo for lice

who is at risk for meningitis

- babies - children - older adults - immunocompromised - college students - people who had recent neurologic or sinus surgeries

what is needed for giving prescribed medication in schools

- original container + original label - provider order - signed parental consent - drug book - EHR for documentation **students can NOT carry any OTC or prescribed medication

occupational health

- prevent exposure to blood born pathogens - OSHA mandates + functions of the occupational nurse - nursing actions: respiratory testing, screening, newsletters - prevention of work injuries --> look for safety hazards (labeling, correct attire)

50 year old client with an 80 pack-year history of cigarette smoking and daily alcohol use. which finding would be most important to report to the health care provider. 1. vocal hoarseness for several months 2. ankle swelling after eating salty foods 3. shortness of breath when walking quickly uphill 4. early morning cough productive of yellow mucus

1

the community health nurse is educating a client who is interested in discontinuing cigarette smoking. which could the teaching plan include? 1. helping the client set a date to stop smoking 2. referring the client to the American red cross 3. encouraging the client to eat when the desire to smoke occurs 4. setting a follow-up phone call for several weeks after the present target date

1

which topic is most important for the nurse to teach in a community health promotion class for middle aged adults? 1. tobacco cessation 2. infection prevention 3. alcohol abstinence 4. pain management

1

smell alcohol on patient. what additional signs and symptoms would the nurse monitor for? 1. irritability 2. poor hygiene 3. family conflict 4. good nutritional habits 5. excessive mood swings 6. strong cognitive skills

1 , 2 , 3, 5

which presumptive signs of pregnancy that the nurse would expect when assessing a client at 10 weeks' gestation? SATA 1. amenorrhea 2. breast changes 3. urinary frequency 4. abdominal enlargement 5. positive urine pregnancy test

1, 2, 3

which question would be asked by the nurse of an adolescent client before a pregnancy test is performed? SATA 1. are you sexually active? 2. when was your last period? 3. are you having any nausea? 4. do you have a history of pregnancy? 5. how will you tell your parents if the test is positive?

1, 2, 3

which client activity warrants the highest priority for education about health promotion to prevent head and neck cancer? 1. chews tobacco 2. multiple sex partners 3. uses condoms when having sex 4. history of alochol abuse for 5 years 5. brushes with soft toothbrush

1, 2, 4 neck cancer = tobacco, alcohol, HPV

Which sexually transmitted infection is caused by bacteria? SATA 1. syphilis 2. hepatitis 3. gonorrhea 4. herpes simplex 5. trichomoniasis

1, 3

which explanations would the nurse provide to the students in a sex education course regarding the etiology for an increase in gonorrhea prevalence? SATA 1. symptoms of the disease are vague 2. screening blood tests are expensive 3. the incubation period is relatively short 4. causative organisms have become resistant to treatment 5. diagnosis tests for causative organisms are not yet available

1, 3, 4

which statement correctly characterizes pregnancy in the adolescent population? SATA 1. pregnant adolescents often seek out less prenatal care 2. infants of teen mothers are at risk of delivering babies late 3. adolescent mothers need competent daycare for their infants 4. infants of adolescent mothers are at increased risk for prematurity 5. fetuses of adolescent mothers are at higher risk for chromosomal defects

1, 3, 4

which statements are true regarding ectopic pregnancy? SATA 1. smoking is one of the risk factors for ectopic pregnancy 2. ectopic pregnancy is directly related to fetopelvic incompatibility 3. ectopic pregnancy occurs when the fertilized egg implants in the fallopian tubes 4. when a young woman exhibits abdominal pain, ectopic pregnancy is confirmed 5. if the adolescent exhibits abdominal pain and hypotension, the ectopic pregnancy may have ruptured

1, 3, 5

which statements are true regarding adolescent sexual health and wellness? SATA 1. Pap testing should start at age 21 2. females should have Pap tests when they become sexually active 3. a sexually active teen who does not use protection has 50% chance of pregnancy within 1 year 4. pregnant teenagers don't often know to avoid teratogens 5. the human papilloma virus vaccine is often the point of entry to care for adolescent sexual health and wellness

1, 4, 5

which term does "smokeless tobacco" refer to ? SATA 1. a substitute for cigarettes 2. tobacco productions that are safe for adolescents 3. tobacco products that produce less smoke" 4. tobacco products with carcinogenic chemicals 5. tobacco products place in the mouth but not ignited

1, 4, 5

List the 5 keys to safer food

1. keep clean 2. separate raw and cooked 3. cook thoroughly 4. keep food at safe temperatures (fridge <5*C or <41*F) 5. use safe water and raw material

what personal protective equipment shoudl the nurse put on when assessing a patient with active tuberculosis? a. isolation gown b. surgical mask c. shoe covers d. N95 respiratory mask

D

a pregnant client tells the nurse that her husband is a chain smoker. which information would the nurse's teaching include? 1. secondhand smoke is related to an increased blood level of alpha-fetoprotein 2. continued exposure to secondhand smoke is related to fetal growth restriction 3. if the mother does not smoke, the fetus will not be affected by secondhand smoke 4. if the mother is not in the same room where there is smoking, the fetus is not affected

2

which clinical manifestation is associated with a diagnosis of tuberculosis? SATA 1. diarrhea 2. anorexia 3. weight gain 4. hemoptysis 5. night sweats

2, 4, 5

are vaccines community-based or community-oriented?

giving the vaccine, education = community-based (individual care based) designing and reporting on a program or reviewing immunization records = community-oriented

which nursing action would be the priority to implement primary prevention of STIs when counseling an adolescent? 1. help the adolescent recognize the risk 2. provide complete information about STIs 3. assess the adolescent's sexual risk behaviors 4. educate the adolescent about proper preventive measures

3

which assessment findings correlate with a diagnosis of unruptured tubal pregnancy? SATA 1. rigid abdomen 2. referred shoulder pain 3. unilateral abdominal pain 4. history of untreated chlamydia 5. ecchymotic blueness around the umbilicus

3, 4

tuberculosis positive indurations:

greater than: 5mm = immunocompromised 10mm = healthcare workers, jail, LTC facility, little kids 15mm = normal people

FERPA (Family Educational Rights and Privacy Act)

A federal law that regulates the management of student records and disclosure of information from those records

how is hepatitis A prevented

hand washing

can a school nurse release information to a physician? to a parent?

A school nurse can NOT release information to a parent OR physician unless the student consents / authorizes

which topic will the school nurse include in adolescent education on sexually transmitted infections? SATA a. condom use b. sexual identity c. types of contraception d. number of sexual partners e. alcohol and drug consumption

A, C, D

the most frequently reported school-based challenges school nurses face are _________

having limited resources and a high caseload

Define Pediculosis

head lice

16 year old diagnosed with STI asks the nurse whether her parents will be contacted. which explanation would the nurse give to the client about her concern? a. they need to know about and sign a consent form for testing treatment b. they will not be contacted because treatment at the clinic is confidential c. they will be notified when the insurance company is billed for testing a treatment

B

symptoms of pesticide poisoning

Dermatological- rashes, redness, itching swelling Neurological- tremors, headache, nausea, depression Reproductive- infertility or birth defects Carcinogenic (any organ)- presence of cancer or tumors

A client with jaundice reports fatigue, abdominal pain, loss of appetite, dark urine, nausea, and vomiting. Which pathogen is most likely responsible for the client's condition?

hepatitis C virus

HIPAA vs FERPA

HIPAA = protects medical records FERPA = protects education records

which types of hepatitis develops into a chronic form of the disease?

Hepatitis B, C, D

signs of meningitis

high fever, stiff neck, drowsiness, and intense headache, change in mental status, photophobia may progress to coma then death within hours of onset

which sexually transmitted infection causes condylomata acuminate?

human papillomavirus (HPV)

why is west nile virus concerning

it can cause viral meningitis

Mature Minors Doctrine

legal principle that allows minors to make decisions about their health and welfare if they can show that they are mature enough to make a decision on their own **** Parents can look at the file of a minor student; however, protected information must be kept separate and not shared with the parents (mature minor)

who was the first school nurse

Lina Rogers

what is the meningitis vaccine and how long is it good for

Menomune --> protects against Neisseria meningitis (a bacteria) good for 5 years ok for use on children, pregnant women, older adults

vector diseases include

lyme mosquito diseases (west nile virus, malaria, etc.)

nits vs louse

nits = new, baby lice louse = mature, adult lice

When a school nurse identifies neglect what is the next step

nurses are mandatory reporters! notify: DCF, CPS, childs teacher + principle and those directly involved

a client should consult their doctor when there is a rash or ulcer on genitalia because these are warning signs of

STI

school nurse: community-based and community-based activities:

School Nurse community-based = focused on illness care for individuals and families ex. giving student inhaler treatment, direct student interaction community-oriented = focused on health promotion and disease prevention in the community (NO Direct individual care) ex. holding flu clinic, making sure student have their vaccines up to date

what rationale best explain how an addiction on alcohol occurs

person eventually requires alcohol for functioning

Level of prevention: health promotion activities, teaching healthy lifestyles, immunizing children for school entry

primary

Level of prevention: o Prevention of childhood injuries o Substance abuse prevention education o Disease prevention education o Required vaccinations for school children

primary

main reason for drinking alcohol in people with alcohol use disorder

dependency

spread of meningitis

droplet, vertical (mother to babY)

which sexually transmitted infection is caused by Chlamydia trachomatis? a. cervicitis b. gonorrhea c. genital warts d. genital herpes

a

which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? SATA 1. sterility 2. ectopic pregnancy 3. blocked fallopian tubes 4. pelvic inflammatory disease 5. increased likelihood of HIV infection

all of the above

basic principal of alcohol anonymous

amends must be made to each person who has been harmed

which sexually transmitted infection is caused by a virus? a. syphilis b. gonorrhea c. genital warts d. chlamydial infection

c

which sexually transmitted infection is managed with antiviral medications as the treatment of choice? a. syphilis b. gonorrhea c. genital herpes d. chlamydial infection

c

induration of 10mm or greater is a positive test result in employees of high-risk settings such as hospitals. what is the next step?

chest x-ray

which sexually transmitted infection is most commonly reported?

chlamydia

which sexually transmitted infection is caused by human papillomavirus?

condylomata acuminata

where is the site for salpingitis in a client with gonorrhea

fallopian tubes

a client who is addicted to heroin has major surgery. afterward, the client receives methadone. whcih purpose does methadone serve?

switches the user from illicit opioid use to use of a legal drug methadone is used in the medically supervised withdrawal period to treat opioid dependence this medication is controlled and remains constant from dose to dose unlike illicit drugs

level of prevention: caring for children with chronic health problems, health referrals, and management of illness

tertiary

level of prevention: o Children with asthma, diabetes, etc. o Children who are autistic o Children with DNR orders o Homebound children o Pregnant teenagers, teen mothers

tertiary

therapy for tuberculosis

therapy for tuberculosis is over 2 phases - up to 2 years long - requires LIVER function monitoring (NOT kidney function)

TRUE / FALSE: tattoos are a potential source of hepatitis B

true

when can a nurse breach confidentiality

when a student relays information from which the nurse suspects: - child abuse - threats of harm to themselves or others **this information should be reported to appropriate authorities A NURSE IS A MANDATED REPORTER ALWAYS (this includes school nurses)

why is faith nursing important

· Hospitals discharge patients too quickly · Community needs education · Increased rates in underinsured or uninsured o Develop free clinics, work as volunteers, etc.

faith nursing activities

· Intentional integration of the practice of faith with the practice of nursing so that people ecan achieve wholeness

faith nursing purpose:

· Promotes health and wellness · Screens, assess, and refer to appropriate resources · Nurses care for individuals, families, communities, and populations

difference between spirituality vs religiosity

· Spirituality = how you personally feel about love, higher power, etc. à your specific feeling and outlook towards that · Religion = your specific practice of your religious beliefs · Beliefs and traditions help with coping