A nurse in a community clinic is assessing an older client for manifestations of dehydration. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: The correct answer is B: Furrows in the tongue. Dehydration can lead to dry mouth and decreased saliva production, causing the tongue to develop furrows. Edema (A) is a sign of fluid retention, opposite of dehydration. Bounding pulses (C) are associated with fluid overload, not dehydration. Healthy skin (D) is a general indicator of good overall health and does not specifically point to dehydration. In summary, furrows in the tongue are a direct manifestation of dehydration, while the other choices are more indicative of fluid overload or general health status.

Correct Answer: C

Rationale: The correct answer is C: Notify the state health department. This is crucial to prevent the spread of communicable diseases in the community. By reporting to the state health department, proper protocols can be implemented to contain and manage the diseases effectively. Keeping it a secret (A) is unethical and can lead to further spread. Only telling family members (B) is not sufficient as it does not address the public health concern. Option D is incomplete, making it incorrect. Reporting to the state health department is the appropriate action to ensure public health and safety.

Correct Answer: B

Rationale: The correct answer is B - Identification of the health risk. This component is used to summarize the assessment data by pinpointing the specific health risk or problem identified in the community. It helps in focusing on the primary issue that needs intervention. Choice A, Identify Needs, is too broad and does not specify the actual health risk. Choice C, Identify community, is essential but does not directly address summarizing the assessment data related to the problem. Choice D is incomplete, so it cannot be the correct answer. Therefore, B is the most appropriate choice for summarizing the assessment data effectively.

Correct Answer: A

Rationale: The correct answer is A because the health assessment of students in a college town requires a comprehensive approach. Selecting multiple answers (SATA) allows for a thorough evaluation of various aspects such as physical, mental, emotional, and social well-being. Vital statistics (B) are important but may not provide a complete picture of the students' health. The number of sandboxes in the playground (C) is irrelevant to assessing student health. Health resources available in the community (D) are essential but do not encompass the holistic assessment needed for students' well-being. Overall, option A ensures a holistic and in-depth evaluation of the students' health status.

Correct Answer: C

Rationale: The correct answer is C: Developing a pamphlet about immunization safety for a local health fair. Primary prevention aims to prevent disease occurrence by promoting health and preventing risk factors. Developing a pamphlet about immunization safety promotes awareness and education to prevent illness before it occurs. Incorrect choices: A: Treating COPD - This falls under tertiary prevention, which focuses on managing and treating existing conditions to prevent complications. B: Screening for cancer - This falls under secondary prevention, which involves early detection and treatment of disease to prevent progression.