A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which nursing action is most appropriate?

Correct Answer: A

Rationale: The correct answer is A. Beginning tests to determine the cause of the bleeding while asking about other family concerns is appropriate because it addresses the immediate health issue while also considering the family's holistic needs. By conducting tests, the nurse can identify the underlying cause of the bleeding and provide necessary treatment. Additionally, inquiring about other family concerns such as nutrition and shelter shows a comprehensive approach to care, considering social determinants of health. Choice B is incorrect because referring the man to a urologist bypasses the initial assessment and testing that should be done at the clinic. Choice C is incorrect as suggesting urgent care does not address the immediate need for assessment and testing. Choice D is incorrect because assuming a urinary infection without proper assessment can lead to incorrect treatment.

Correct Answer: A

Rationale: The correct answer is A: Call all homeless clients 48 hours after TB skin testing to remind them to return to the clinic for test interpretation. This approach ensures proactive follow-up and increases the likelihood of clients returning for test interpretation. Calling clients directly allows for immediate communication and personalized reminders, addressing the issue of non-compliance among the homeless population. Option B is not ideal as relying on homeless individuals to read and mail in their TB skin test results may lead to inaccuracies, lack of follow-up, and potential privacy breaches. Option C is not recommended as re-administering the TB skin test may not be necessary and can lead to unnecessary testing and costs. Option D of routinely referring all homeless clients for chest x-rays is excessive and not warranted without first interpreting the TB skin test results.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Tertiary prevention focuses on reducing the impact of an existing disease. 2. Directly observing clients with active tuberculosis taking their medications ensures treatment adherence. 3. By ensuring medication adherence, the nurse helps prevent complications and spread of the disease. 4. This intervention falls under the realm of tertiary prevention for tuberculosis. Summary: - Option A is related to screening for tuberculosis, not tertiary prevention. - Option B involves detecting active tuberculosis, which is more about secondary prevention. - Option D involves interpreting test results, which is part of diagnostic processes, not tertiary prevention.

Correct Answer: C

Rationale: The correct answer is C because a migrant farmworker is defined as someone who moves from place to place to earn money by performing seasonal agricultural work. This definition accurately captures the essence of a migrant farmworker's lifestyle, which involves traveling to different locations to work in farming during specific seasons. Choice A is incorrect because it focuses on the primary means of employment, whereas migrant farmworkers typically engage in seasonal agricultural work for income regardless of other employment opportunities. Choice B is incorrect as it specifically mentions immigration to the United States, which is not a universal characteristic of migrant farmworkers. Choice D is incorrect because it describes a person specializing in rural land development for farming purposes, which is not synonymous with the transient nature of a migrant farmworker's job. In summary, choice C best encapsulates the defining feature of a migrant farmworker as someone who moves around to perform seasonal agricultural work for income.

Correct Answer: D

Rationale: The correct answer is D because the scenario suggests that the parents were not aware of the child being outside for an extended period, leading to heat stroke. This is supported by the fact that the nurse had to inform the father about the danger signs, indicating a lack of prior knowledge or supervision. Choice A is incorrect as heat stroke is not a rare occurrence in hot climates. Choice B assumes the daughter's actions caused the heat stroke, which is not implied in the scenario. Choice C is irrelevant to the immediate cause of the heat stroke, which is lack of supervision.