The public health nurse is assigned to the population of clients in an inner-city community. The nurse identifies which of the following as a priority intervention?
Develop a survey on teen pregnancies
Hold a focus group to discuss immunizations
Perform a windshield survey
Interview the elderly at the senior’s center
The Correct Answer is C
Choice A reason:
Developing a survey on teen pregnancies is important for understanding the prevalence and factors contributing to teen pregnancies in the community. However, it is not the most immediate priority intervention. Surveys are useful for data collection but do not provide immediate insights into the overall community health needs.
Choice B reason:
Holding a focus group to discuss immunizations is valuable for gathering community input and addressing concerns about vaccinations. While this is an important public health activity, it is more specific and does not provide a comprehensive overview of the community’s health needs.
Choice C reason:
Performing a windshield survey is a priority intervention for a public health nurse assigned to a new community. This type of survey involves systematically observing the community to gather information about its overall health status, resources, and needs. It provides a broad overview that can inform more targeted interventions and programs.
Choice D reason:
Interviewing the elderly at the senior’s center is important for understanding the specific needs of this population group. However, it is a more focused intervention and does not provide a comprehensive assessment of the entire community’s health needs.
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Correct Answer is ["B","C","E"]
Explanation
Choice A reason:
The central nervous system is not a common portal of entry for anthrax. Anthrax primarily enters the body through the skin, respiratory tract, or gastrointestinal tract. While it can affect the central nervous system if it spreads, it is not a primary entry point.
Choice B reason:
The integumentary system, or skin, is a common portal of entry for anthrax. Cutaneous anthrax occurs when Bacillus anthracis spores enter the body through a cut or abrasion on the skin. This form of anthrax is characterized by a localized infection that can develop into a painless ulcer with a black center.
Choice C reason:
The respiratory system is another primary portal of entry for anthrax. Inhalation anthrax occurs when spores are inhaled into the lungs. This form of anthrax is particularly dangerous and can lead to severe respiratory distress and systemic infection if not treated promptly.
Choice D reason:
The renal system is not a typical portal of entry for anthrax. While anthrax can affect multiple organ systems if it becomes systemic, it does not enter the body through the kidneys or urinary tract.
Choice E reason:
The gastrointestinal system is a potential portal of entry for anthrax. Gastrointestinal anthrax occurs when spores are ingested, typically through contaminated food or water. This form of anthrax can cause severe gastrointestinal symptoms and systemic infection.
Correct Answer is D
Explanation
Choice A reason:
Seasonal allergies, also known as allergic rhinitis, can be exacerbated by air pollutants, including ozone. However, individuals with asthma are more severely affected by ozone exposure. Ozone can trigger asthma attacks and worsen symptoms, making it a more critical concern for those with asthma.
Choice B reason:
Mitral valve disease affects the heart’s mitral valve and can lead to symptoms such as shortness of breath and fatigue. While air pollution can impact cardiovascular health, ozone specifically poses a greater risk to individuals with respiratory conditions like asthma rather than those with mitral valve disease.
Choice C reason:
Nasal polyps are noncancerous growths in the nasal passages or sinuses that can cause breathing difficulties and chronic sinus infections. Although air pollutants can irritate the nasal passages, individuals with asthma are more vulnerable to the harmful effects of ozone, which can exacerbate their respiratory symptoms.
Choice D reason:
Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, leading to difficulty breathing. Ozone exposure can significantly worsen asthma symptoms, trigger asthma attacks, and reduce lung function. Therefore, individuals with asthma are especially vulnerable to the effects of ozone.