The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important for the community?

Correct Answer: B

Rationale: In the context of community health nursing, the correct answer is B) accessibility to trauma care. This is the most important healthcare resource for a rural community because trauma care addresses immediate life-threatening situations such as accidents or injuries, which can occur unexpectedly in any population. Having access to trauma care can significantly impact survival rates and quality of life in emergencies. Option A) family planning center is essential for reproductive health but may not be as immediately critical as trauma care in emergencies. Option C) annual health fair promotes health education and prevention but does not address immediate life-threatening situations like trauma care does. Option D) weather-related disaster plan is important for preparedness, but trauma care is more directly related to addressing health emergencies. In an educational context, understanding the priority of healthcare resources in different community settings is crucial for public health nurses to effectively plan, implement, and evaluate interventions that meet the specific needs of the population. By prioritizing resources like trauma care, nurses can contribute to improving health outcomes and reducing mortality rates in rural communities.

Correct Answer: C

Rationale: In this scenario, the most appropriate action for the nurse to take is to schedule an appointment for the client with a podiatrist (Option C). This choice is correct because the client's toenails are not only long and thick but also curling under the toes, indicating a need for professional intervention. Podiatrists are specialized healthcare providers who can safely and effectively address nail care issues in diabetic clients to prevent complications such as infection or injury. Option A is incorrect because demonstrating proper foot care to the client and family would not address the immediate need for professional toenail trimming. Option B is also incorrect as a home health aide may not have the necessary skills or training to safely trim the client's toenails, especially given the specific condition of thick and curled nails in a diabetic individual. In an educational context, it is crucial for nurses to recognize when a client's condition requires specialized care beyond their scope of practice. Collaboration with other healthcare professionals, like podiatrists in this case, ensures comprehensive and appropriate management of clients' health needs, especially in vulnerable populations like older adults with diabetes. This scenario underscores the importance of interprofessional communication and referrals in community health nursing practice.

Correct Answer: A

Rationale: In this scenario, the correct action for the RN to take is option A: have the client transported via ambulance to the hospital. This choice is based on the client's presentation of symptoms indicating a potential serious postoperative complication, such as an anastomotic leak after gastric bypass surgery. The presence of tenderness, shoulder pain, malaise, and elevated temperature along with hypotension, tachycardia, and tachypnea are concerning signs that warrant immediate medical attention. Option B, to recheck vital signs in 30 minutes, is not appropriate in this case as the client's symptoms suggest a potentially critical condition that requires prompt intervention. Option C, instructing the client to drive to the hospital, is unsafe due to the client's condition and the need for urgent medical evaluation. Option D, determining the client's current symptoms, is unnecessary as the client's presentation already indicates the need for immediate medical assessment and intervention. In an educational context, this scenario highlights the importance of recognizing and responding to postoperative complications promptly in community health nursing. It emphasizes the critical thinking skills needed to prioritize actions based on assessment findings and the significance of timely intervention in ensuring patient safety and optimal outcomes. Nurses must be prepared to act decisively in emergent situations to provide appropriate care and support to patients in the community setting.

Correct Answer: B

Rationale: In this scenario, the most appropriate initial action for the nurse to take is to review the client's current medication regimen (Option B). This is the correct choice because before addressing the issue of expired medications, the nurse must first assess the client's current medication usage to ensure they are receiving the necessary treatment for their health conditions. Option A, instructing the client to dispose of the expired medications, is not the best first step because it does not address the immediate concern of ensuring the client's current health needs are being met. Additionally, there may be specific disposal protocols that need to be followed for medications. Option C, contacting the client's healthcare provider, while important, should come after assessing the client's current medication regimen. The nurse needs to have a clear understanding of the client's medication history and needs before involving the healthcare provider. Option D, educating the client on the dangers of taking expired medications, is not the priority at this moment. While education is crucial, the immediate focus should be on ensuring the client's current medication regimen is appropriate and addressing any potential gaps in their care. In an educational context, this question highlights the importance of prioritizing client safety and effective nursing assessment in community health settings. Nurses must use critical thinking skills to determine the most appropriate course of action based on the client's needs and the situation at hand. Understanding the sequence of steps in addressing medication concerns is vital for providing quality care in community health nursing practice.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) explore the reasons for the client's forgetfulness. This option is the most appropriate first step because it allows the nurse to assess the underlying causes of the client's non-adherence to medication. By exploring the reasons behind the forgetfulness, the nurse can uncover potential barriers such as cognitive issues, financial constraints, lack of understanding, or side effects that may be contributing to the client's behavior. Option A) educate the client on the importance of medication adherence may be necessary, but it should come after understanding the client's reasons for forgetfulness. Simply providing education without addressing the root cause may not effectively improve adherence. Option C) providing the client with a pill organizer assumes that forgetfulness is the only issue at play and may not address the underlying reasons for non-adherence. Option D) adjusting the client's medication schedule should also come after exploring the reasons for forgetfulness to ensure that any changes made are appropriate and effective. In the context of community health nursing, it is essential to take a holistic and patient-centered approach to address medication adherence issues. By first exploring the reasons behind the forgetfulness, nurses can tailor interventions to best support the client in managing their hypertension effectively.