A nurse provides health screening for a community health center ...

[Yi-Chen]

A nurse provides health screening for a community health center with a large population of African-American clients. Which priority assessment should the nurse include when working with this population?
 
  a. Measure height and weight.
  b. Assess blood pressure.
  c. Observe for any signs of abuse.
  d. Ask about medications.

Question 2

A nurse teaches a client who is recovering from a nephrectomy secondary to kidney trauma. Which statement should the nurse include in this client's teaching?
 
  a. Since you only have one kidney, a salt and fluid restriction is required.
  b. Your therapy will include hemodialysis while you recover.
  c. Medication will be prescribed to control your high blood pressure.
  d. You need to avoid participating in contact sports like football.

[choc0chan]

Answer to Question 1

ANS: B
All interventions are important for the visiting nurse to accomplish. However, African Americans have a high rate of hypertension leading to end-stage renal disease. Each encounter that the nurse has with an African-American client provides a chance to detect hypertension and treat it. If the client is already on antihypertensive medication, assessing blood pressure monitors therapy.

Answer to Question 2

ANS: D
Clients with one kidney need to avoid contact sports because the kidneys are easily injured. The client will not be required to restrict salt and fluids, end up on dialysis, or have new hypertension because of the nephrectomy.

[Yi-Chen]

Gracias!

[tanna.moeller]

TYSM