Level: Foundational
Difficulty: Easy
Subtopic: Primary prevention
NCLEX: The community health nurse at a public health clinic is being evaluated for risk related to primary prevention. A…
Community / public health nursing Health Promotion and Maintenance
Case Study
The community health nurse at a public health clinic is being evaluated for risk related to primary prevention. Assessment data include a client with active tuberculosis missed two public health appointments. Which finding requires the nurse to intervene immediately?
Question
A. A stable, long-standing finding that matches the expected care plan.
B. A comfort request with unchanged vital signs and no new symptoms.
C. The new finding that a client with active tuberculosis missed two public health appointments.
D. Routine data unchanged from the prior assessment.
B. A comfort request with unchanged vital signs and no new symptoms.
C. The new finding that a client with active tuberculosis missed two public health appointments.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: C. The new finding that a client with active tuberculosis missed two public health appointments.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.