A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?

Teach the client about support groups in the community.

Inform the client about home health visits to monitor effectiveness of care.

Teach the client about modifications for activities of daily living skills.

Inform the client about ongoing screening for high risk conditions.

Answer and Explanation

The Correct Answer is D

A. Teach the client about support groups in the community: This is an example of tertiary prevention because it aims to support clients in coping with an existing health condition and prevent further complications through emotional and social support.

B. Inform the client about home health visits to monitor effectiveness of care: This represents tertiary prevention, as it focuses on monitoring and managing a diagnosed condition to prevent further deterioration or readmission.

C. Teach the client about modifications for activities of daily living skills: This is tertiary prevention, targeting improved function and adaptation to chronic illness or disability and helping the client maintain independence.

D. Inform the client about ongoing screening for high-risk conditions: This is secondary prevention, as it involves early detection and prompt intervention for conditions like hypertension or diabetes, aiming to halt progression before complications develop.

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Correct Answer is B

Explanation

A. "You should pull on the cord when unplugging items." Pulling on the cord can damage the cord or outlet, increasing the risk of electrical shock or fire. The correct practice is to pull from the plug itself, not the cord, to safely disconnect electrical devices.

B. "You should limit your use of extension cords." Limiting the use of extension cords reduces the risk of overloading circuits and electrical fires. Extension cords are intended for temporary use, and excessive or improper use can pose serious hazards.

C. "You should cover electrical cords with an area rug" Covering cords with rugs can cause them to overheat, wear out, or become damaged, creating a fire hazard. Cords should be placed safely where they are not pinched or hidden under rugs.

D. "You should secure extension cords with clear packing tape" Taping cords to the floor is unsafe as it can damage the insulation and increase the risk of tripping or electrical faults. Proper cord management involves using clips or cord covers designed for safety.

A. A client who has undergone radiation therapy within the last 3 years B. A client who has received the bacille Calmette-Guerin vaccine within the last 10 years C. A client who has acquired immune deficiency syndrome D. A client who has lived in a country where tuberculosis is endemic

Correct Answer is B

Explanation

A. A client who has undergone radiation therapy within the last 3 years: Radiation therapy may suppress the immune response, potentially leading to a false-negative rather than a false-positive Mantoux test due to reduced ability to mount a reaction.

B. A client who has received the bacille Calmette-Guerin vaccine within the last 10 years: The BCG vaccine can cause a false-positive Mantoux result because the vaccine uses a strain of Mycobacterium bovis, which can trigger a reaction similar to TB exposure in skin testing.

C. A client who has acquired immune deficiency syndrome: Clients with AIDS are immunocompromised, which increases the likelihood of a false-negative Mantoux result, as their immune systems may not respond sufficiently to the test.

D. A client who has lived in a country where tuberculosis is endemic: This client is at higher risk for true TB exposure, and a positive result is more likely to reflect actual infection rather than a false-positive reaction.

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A case management nurse is planning discharge teaching for a client. Which of the following interventions should the nurse plan to include for secondary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

Explanation

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