Community Practice test A.

A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals?

Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program.

A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? A. Intimate partner abuse occurs more frequently in lower socioeconomic households B. Child abuse is more common in homes where intimate partner abuse is present C. Children who are abused are less likely to become abusers D. Minority populations may b a greater risk for abuse

B. Child abuse is more common in homes where intimate partner abuse is present

A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take?

Teach the client how to apply imiquimod 5% cream to the lesions. The client can self-treat the lesions using topical imiquimod 5% cream to the lesions at bedtime for up to 16 weeks. Report the infection to the state health department. The nurse should not report the infection to the state health department because human papillomavirus is not a reportable communicable disease. Instruct the client to return for a blood test in 1 month. The client will undergo a physical examination, PAP test, and assessment of manifestations for initial diagnosis. Administer ceftriaxone 250 mg IM. The nurse should administer ceftriaxone for a client who has gonorrhea.

A nurse is planning health promotion activities for the local community. Which of the following activities should the nurse include as an example of primary prevention

Teaching meal planning classes to older adults

A nurse in an emergency dept is triaging clients following an explosion at a local factory. Which of the following clients should the nurse ID as the priority?

a client who has tracheal deviation and shortness of breath

A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn?

he client has changed providers three times during her pregnancy. Frequently changing health care providers is a warning sign for potential future child abuse because it can indicate that the client is in an abusive relationship and is attempting to hide it from her provider. Clients who experience abuse are at a higher risk for abusing their own children. The client has recurring nightmares about her unborn baby.Emotional responses to pregnancy can include dreams about the unborn baby. Anxieties about the pregnancy, the developing baby, and parenthood can manifest as nightmares. However, these nightmares are not warning signs for potential future abuse of a child. The client recently married the father of her unborn baby. A new marriage between the client and the father of her baby reflects a commitment between the client and her partner. Rejection of a pregnant client by her partner is a warning sign for potential future abuse of a child. The client works part-time at a local restaurant. Employment outside of the home can contribute to economic stability, which decreases the risk for potential future abuse of a child.

A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?

Encourage the women to participate in weight-bearing activities.

A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors?

Ethnocentrism. Ethnocentrism occurs when people view the world from the perspective of their own cultural background and viewpoint. Stereotyping occurs when members of a culture are viewed according to perceived characteristics without considering individual differences. Social organization is the pattern of relationships among a cultural group and how that group structures itself to carry out role functions. Cultural imposition is the process of forcing one group's cultural beliefs on others.

A community health nurse is reviewing plans for a health education program. The nurse should identify that which of the following components of the plan needs to be changed?

Pamphlets are written at a 12th-grade level. The nurse should identify that the pamphlets written at a 12th-grade reading level requires a change. The American Medical Association and the National Institutes of Health recommend written materials are written at a 6th-grade level or lower. The presentation is delivered via a computer slide presentation.The use of technology, such as a computer slide presentation, is an effective teaching method that addresses the needs of both visual and auditory learners. Attendance at the program is voluntary.Participants are more likely to benefit from a program that they choose to attend rather than from one that is mandatory. Program content is organized topically. Appropriately organized content makes it easier for participants to comprehend and retain the material.

A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates?

Safety belt use. Automobile crashes are currently the leading cause of death among adolescents. Therefore, this topic is most important to discuss when attempting to reduce premature deaths in this age group. Heart-healthy dietAn unhealthy diet may lead to health complications later in life, but it is not the leading cause of death among adolescents. Underage smokingUnderage smoking may lead to health complications later in life, but it is not the leading cause of death among adolescents. Safer sex practicesSafer sex practices will reduce the incidence of pregnancy and sexually transmitted infection, but they will not affect the leading cause of death among adolescents

A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make?

"Do you have questions about tuberculosis?" This response addresses the neighbor's concerns while protecting the client's confidentiality. "Have you ever been tested for tuberculosis?" This response does not address the neighbor's concerns and may contribute to further anxiety about contracting TB. "You should take precautions against this infection." This response violates the client's confidentiality by indicating that the neighbor's suspicions are correct. "You should ask the public health department." This statement leads the neighbor to believe that the information is obtainable. However, the public health department will not disclose this information.

A public health nurse is conducting an educational session about Lyme disease for a group of older adult clients at a senior center. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I can take penicillin for 10 to 14 days to manage Lyme disease."******* A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to 14 days of penicillin or tetracycline therapy. "I can get Lyme disease from a mosquito bite."The nurse should instruct the clients that the mode of transmission for Lyme disease is from the bite of an infective ixodid tick. "I will have abdominal pain and diarrhea if I get Lyme disease." The client who has Lyme disease can have a lesion from a tick bite with mild-flu like manifestations, such as fever, fatigue, and malaise. A client who has Escherichia coli is more likely to have abdominal pain and diarrhea. "I should get an annual immunization to prevent Lyme disease." Currently, there is no immunization to prevent Lyme disease. An older adult client should get an annual influenza immunization.

A community health nurse is conducting vision screenings at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes?

"I have a prescription bottle magnifier to help me read my pill bottle labels." The client can obtain a prescription bottle magnifier, or other low-vision optical devices, to assist him in his ability to read the labels on his prescriptions and remain independent. "I canceled all of my magazine prescriptions since I can't read them."The client should obtain large print magazines and other reading materials that have large, dark, evenly-spaced printing. "I purchased green towels to use in my bathroom." The client should obtain brightly colored towels with primary colors at the upper end of the spectrum, such as red and orange, because these are easier for a client who has age-related macular degeneration to see. "I have learned that I cannot to go outside when the sun is bright." The client should obtain sunglasses that have yellow or amber lenses because they will decrease the glare and allow him to go outside even when the sun is bright.

A school nurse is educating a group of high school students about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching?

"I should consume less than 300 milligrams per day of dietary cholesterol." The nurse should instruct the students to consume less than 300 mg/day of dietary cholesterol. High levels of dietary cholesterol in a diet can be a risk factor for cardiovascular disease. "I can increase my daily consumption of foods that contain refined grains."High school students should decrease their consumption of foods that contain refined grains. Refined grains often contain solid fats, added amounts of sugar, and are high in sodium. Examples of foods that contain refined grains are white flour, white bread, and white rice. "I should consume 800 milligrams per day of dietary calcium." High school students should consume 1,300 mg/day of dietary calcium. Calcium promotes skeletal growth and bone mineralization, which is necessary during adolescence. "I can consume up to 25 percent of my daily calories from saturated fatty acids." High school students should consume less than 10% of their daily calories from saturated fatty acids.

A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?

"I will increase the amount of red meat and milk in my child's diet." Children should receive adequate amounts of iron and calcium in their diets to prevent lead absorption from their environment. "I will use hot tap water to prepare my baby's formula." The client should use cold tap water to prepare infant formula because hot water dissolves lead more quickly from the pipe than cold water. "I will use a dry-sanding technique when preparing to repaint my front door." The client should use a wet-sanding technique to prevent aerosolizing lead particles. "I will vacuum our wood floors every week." The client should wet mop wood floors to prevent aerosolizing lead particles.

A faith community nurse is teaching the daughter of a client who has a terminal illness about her role as a member of the client's health care team. Which of the following statements by the daughter indicates an understanding of the teaching?

"You will coordinate with volunteers who will come to help my mother."

A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as the priority?

A client who has tracheal deviation and shortness of breath. A client who has tracheal deviation and shortness of breath most likely has a pneumothorax and requires immediate intervention for survival. Therefore, when using the survival approach to client care, the nurse should give priority to this client. A client who has agonal respirations and an open head injuryA client who has agonal respirations and an open head injury has a minimal chance of survival even with intervention. Therefore, the nurse should not identify this client as the priority. A client who has a fracture of the humerus and a bleeding foot laceration A client who has fracture of the humerus and a bleeding foot laceration does not have an immediate threat to life and can wait for treatment. Therefore, the nurse should not identify this client as the priority. A client who has superficial burns to 10% of the abdomen does not have an immediate threat to life and can wait for treatment. Therefore, the nurse should not identify this client as the priority.

A nurse in a community health clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take?

Ask the child to pretend to blow up a balloon during the injection. The nurse should ask the child to pretend to blow up a balloon during the injection. This serves as a distraction for the child, which decreases pain perception. Reassure the child that the injection is not going to hurt.The nurse should explain to the child that the injection may feel like a sting or a poke for a short time. The nurse should then provide a distraction for the child during the injections. Ask the child's parent to leave the room during the injection. The child likely has anxiety and fear about receiving an injection and the presence of a parent can decrease this fear. The parent can talk to and reassure the child during the injection. Request that the child count backwards from the number 10 during the injection. A 5-year-old child does not have the cognitive development to perform this task. The nurse should have the child use a distraction during the injection, such as blowing bubbles or looking at a book.

A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for intimate partner abuse?

Attempting to end the relationship

A community health nurse is planning an in-service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis?

Chancre. Chancre is a clinical manifestation of primary syphilis. Lymphadenopathy Lymphadenopathy is a clinical manifestation of secondary syphilis. Malaise is a clinical manifestation of secondary syphilis. Maculopapular rashes on the palms and soles of the feet are clinical manifestations of secondary syphilis.

A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first?

Determine the client's reason for discontinuing the medication. When using the nursing process, the first step the nurse should take is to assess the client. By determining the client's reason for discontinuing the medication, the nurse can promote adherence to treatment. Discuss the consequences of discontinuing the medication with the client.The nurse should discuss the consequences of discontinuing the medication with the client. However, another action is the priority. Provide the client with an educational pamphlet about the medication.The nurse should provide the client with information about the medication. However, another action is the priority. The nurse should notify the provider of the client's decision to stop taking prescribed medication. However, another action is the priority.

A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.)

Focus groups Written audits Satisfaction survey Interviews. Focus groups is correct. The nurse should include focus groups, which are small groups of individuals who use the health department services, for process evaluation of the facility. This information allows for review of the facility's strengths and weaknesses in the quality of client care delivery. Written audits is correct. The nurse should include written audits, which are written evaluations of the quality of care provided by the health department, for process evaluation of the facility. This information allows for review of the facility's strengths and weaknesses in the quality of client care delivery. Satisfaction survey is correct. The nurse should include satisfaction surveys, which are assessments of clients' perception of their care made via telephone or written questionnaires, for process evaluation of the facility. Interviews is correct. The nurse should include interviews of clients who use the health department's services for process evaluation of the facility. Values self-study is incorrect. A values self-study is performed as the first step in quality assurance when the health department determines the needs of the community, the services to offer, and develops a philosophy and overall objectives for the facility.

A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease?

Forgetting the location of common objects. Withdrawal from social activitiesWithdrawal from social activities is a later manifestation of Alzheimer's disease. Forgetting the location of common objects MY ANSWERForgetting the location of common objects is an early manifestation of Alzheimer's disease. Experiencing incontinenceIncontinence is a later manifestation of Alzheimer's disease. Neglecting personal hygieneNeglecting personal hygiene is a later manifestation of Alzheimer's disease.

An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects?

Gastric ulcerations

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

Help the client obtain a provider for prenatal care. The client is an adolescent and experiencing an unplanned pregnancy, which are factors that place the client at risk for complications. Therefore, the first action the nurse should take is to assist the client in obtaining prenatal care. Recommend that the adolescent meet with the school guidance counselor to discuss educational options.The nurse should encourage the client to meet with her guidance counselor regarding her educational plans. However, another action is the priority. Request permission to interview the father of the child to obtain a medical history.The nurse should obtain the medical history of the father of the child if possible. However, another action is the priority. Provide information on parenting classes so the client can learn about caring for a newborn. The nurse should provide information about parenting classes to the client. However, another action is the priority.

A community health nurse is planning to establish a community garden to address the lack of nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan?

Identify community members who demonstrate an interest in the project. The first action the nurse should take when using the nursing process is to assess the community. By identifying those community members who demonstrate an interest in the project, the nurse can establish a local support group who will assist in engaging other community residents with establishing the garden. Hold a community information session to inform the residents of the plan.The nurse should hold a community information session to inform the residents of the plan. This will encourage dialogue amongst the residents and enlist the help of others. However, there is another action the nurse should take first. Select residents to take on leadership roles in the project. The nurse should select residents to take on leadership roles in the project so the community can take ownership of the project, letting the nurse relinquish that control. However, there is another action the nurse should take first. Monitor the progress of the project to keep the project on course. The nurse should monitor the progress of the project to keep the project on course and to assist the residents in making changes and adjustments as necessary. However, there is another action the nurse should take first.

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment?

Illness practices. A cultural assessment focuses on beliefs, values, meanings, and behavior of people within a client's cultural, ethnic, or religious group. This includes culturally-based practices that relate to health and illness.

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Implement an exercise program for clients who have hypertension. The nurse should implement tertiary prevention strategies for clients who have hypertension to promote the highest level of functioning possible, which can include regular exercise to maintain an active lifestyle. Provide education about risk factors for hypertension.The nurse should implement primary prevention strategies for a healthy population to prevent or delay hypertension, which can include providing community education about risk factors and early intervention. Conduct a hypertension screening clinic for the community.The nurse should implement secondary prevention strategies for early detection and treatment for clients who are at risk for developing hypertension, which can include conducting a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. The nurse should implement secondary prevention strategies for early detection and treatment for clients who are at risk for developing hypertension, which can include teaching clients who have a family history of hypertension to monitor their blood pressure.

A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. Which of the following information should the nurse include?

Individuals transmit the pertussis bacteria through airborne droplets. Transmission occurs when an individual who has an infection with Bordetella pertussis coughs and expels droplets larger than 5 microns. The annual influenza vaccine does not protect individuals from infection with Bordetella pertussis. Individuals should still receive immunization against pertussis. Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital.Infants receive an immunization against diphtheria, tetanus, and pertussis in the form of the DTaP vaccine. Infants should receive the first dose of the DTaP vaccine at no earlier than 6 weeks of age. Infants should receive a series of five vaccines by the age of 6 years. Individuals who have had pertussis do not require immunization. Individuals who have a history of infection with Bordetella pertussis do not maintain permanent immunity against reinfection and should still receive the vaccine.

A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data?

Informant interviews. The nurse should identify that informant interviews of the community's leaders will provide direct data. This information can help the nurse identify services needed by the community. Health surveysHealth surveys will yield secondary data. Medical recordsMedical records will yield secondary data. Morbidity/mortality statistics Vital statistics will yield secondary data.

A nurse in an emergency department is caring for client who is homeless and has hypothermia. Which of the following actions should the nurse take?

Initiate a referral to the facility's social worker. The nurse should refer the client to the facility's social worker or to an agency that can assist him with finding housing. Ask the client why he did not seek shelter sooner. Asking a "why" question can make the client defensive. Tell the client everything will work out now that he is in the hospital. Telling the client everything will work out is giving the client false reassurance and does not address his immediate needs. Notify the local law enforcement agency of the client's situation. The nurse should only involve the local law enforcement agency when there a legal issue.

An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse take?

Instruct the employee to prepare a list of close personal contacts. The nurse should report the name of an employee who has a positive Mantoux tuberculin test to the health department. The health department will follow up with the employee so that close personal contacts can be notified of the potential of exposure. Initiate an employee immunization program. There are no immunizations for tuberculosis. Instruct the employee to wear an N95 respiratory mask. Health care providers of clients who have tuberculosis should wear an N95 respiratory mask to prevent exposure to the infection. Administer prophylactic penicillin to other employees. Prophylactic treatment for exposed individuals does not include penicillin.

A school nurse is notified that a school-age child has been newly diagnosed with pertussis. Which of the following actions should the school nurse take? (Select all that apply.)

Instruct the parent to keep the child at home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Check the immunization status of the child's classmates is correct.

A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care?

Make the hospice referral in accordance with the client's decision. The nurse should follow the ethical principle of respect for client autonomy and make the hospice referral for the client. Verify that the client's health insurance pays for hospice services.The nurse's responsibility does not include verifying the insurance coverage of hospice services. Recommend a second opinion from another provider. Providing advice is nontherapeutic and is not congruent with the principle of respect for client autonomy. Assess whether or not the family agrees with the client's decision. This action is a breach of client confidentiality and is not congruent with the principle of respect for client autonomy.

A home health nurse is planning care for a client who reports practicing traditional Asian health beliefs. The nurse should recognize that the client participates in which of the following actions?

Places a cup of steam against the skin to draw out toxins from the body. The nurse should recognize that a health-related practice for clients who practice traditional Asian health beliefs includes cupping, which involves placing the open end of a cup of steam against the skin. A vacuum seal is created as the steam cools. When the cup is removed, it is believed that toxins are drawn out from the body. Applies cool compresses across the body to reduce fever The nurse should recognize that a health-related practice for clients who practice traditional Asian health beliefs includes covering the body with heated blankets during episodes of fever. This health belief is derived from the need to balance yin and yang during illness. Avoids eating dairy and meat products during the same mealThe nurse should recognize that clients who follow the traditional religious beliefs of Orthodox Judaism avoid eating dairy and meat products during the same meal. Visits a shaman to seek healing from illnessThe nurse should recognize that a health-related practice of clients who follow traditional American Indian beliefs includes visiting a shaman to seek healing from illness.

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Provide education about MRSA throughout the school system. Appropriate hand hygiene and self-care will help prevent the spread of MRSA. The others are not r/t MRSA.

A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention?

Recognizing and reporting suspected abuse to the appropriate protective services. Secondary prevention is an intervention that focuses on early detection of a health problem to facilitate early diagnosis and treatment. Recognizing and reporting suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse. Collaborating with support agencies to ensure the ongoing treatment for abuseCollaborating with support agencies to ensure the ongoing treatment for abuse is an example of tertiary prevention, which includes interventions that are aimed at interrupting the course of a known disorder, reducing ensuing disability, and promoting rehabilitation. Educating individuals and groups about preventing domestic and community abuseProviding education about abuse is an example of primary prevention, which includes interventions that are aimed at promoting health and preventing injury or illness. Creating a public service announcement about the warning signs of intimate partner abuse Public service announcements and other types of information sharing are examples of primary prevention, which includes interventions that are aimed at promoting health and preventing injury or illness.

A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take?

Tell the client to take naltrexone daily. The nurse should instruct the client to take naltrexone daily to decrease her cravings for alcohol. Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse. Instruct the client to take buprenorphine for the next 9 to 12 months.Buprenorphine is prescribed for clients who are withdrawing from opiates. It is not used for the treatment of alcohol use disorder. Teach the client to avoid foods that contain tyramine. Clients who are prescribed monoamine oxidase inhibitors (MAOIs) are instructed to avoid foods that contain tyramine. MAOIs are prescribed for clients who have depression. Schedule transcranial magnetic stimulation (TMS) biweekly. TMS is used for the treatment of depression for clients who did not respond to other treatment interventions.

A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? -herpes zoster -Tdap -Varicella -MMR

Tetanus, diphtheria, pertussis (Tdap) The nurse should include that a client who is pregnant should receive the Tdap vaccine between 27 and 36 weeks of gestation. The rest are contraindicated in pregnancy.

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion?

The faith community nurse can facilitate substance abuse support groups. The faith community nurse can provide pharmacologic pain management for clients who have a terminal illness. This is the role of a home health or hospice nurse. The faith community nurse can plan workplace safety training for employees in a local factory. This is the role of an occupational health nurse. The faith community nurse can provide wound care for clients in their homes. This is the role of a home health or wound care nurse.

A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take?

Use an N95 respirator. A client who has active tuberculosis requires airborne precautions to prevent the spread of droplet nuclei smaller than 5 microns. The nurse should wear an N95 respirator when administering medication to prevent transmission of the infection. Wear gloves.The nurse should wear gloves when administering medication to a client who has an infection that requires contact precautions, such as shigella, herpes simplex, or scabies. Wear a gown. he nurse should wear a gown when administering medication for a client who has an infection that requires contact precautions, such as shigella, herpes simplex, or scabies. Use disposable equipment. The nurse should use disposable equipment when administering medication for a client who has an infection that requires contact precautions, such as shigella, herpes simplex, or scabies.

A home health nurse is providing nutritional instructions to a client who has COPD and is malnourished. Which of the following instructions should the nurse include?

Use milk instead of water when making canned soup. The client should use milk when preparing canned soup to increase his intake of protein and calories. Drink at least 480 mL (16 oz) of liquid with each meal.The client should limit liquid intake at meal times. Avoid foods that contain eggs.The client should consume foods that provide protein, such as eggs. Lie flat for 15 to 30 min after eating.The client should maintain an upright position, such as the high Fowler's position or the orthopneic position, to promote ventilation.

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infectious Conditions list?

Varicella. rythema infectiosumErythema infectiosum is a contagious illness that is transmitted via respiratory secretions and blood, but it is not included on the Nationally Notifiable Infectious Conditions list. Scarlet fever is a contagious illness that is transmitted via direct contact with an individual who is infected or indirect contact with contaminated objects, but it is not included on the Nationally Notifiable Infectious Conditions list. Molluscum contagiosum is a contagious illness that is transmitted via skin-to-skin contact with an individual who is infected, but it is not included on the Nationally Notifiable Infectious Conditions list.

A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications?

Warfarin. Ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that ginkgo biloba may alter the effects of warfarin. Ginkgo biloba does not alter the effects of metoprolol, digoxin, diltiazem.