A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?
Early detection of disease
Client enrollment in prevention programs
Promotion of appropriate lifestyle changes
Identification of family history of medical problems
The Correct Answer is A
Choice A reason: Early detection of disease is the primary goal of screening for lipid disorders, as it can identify clients who are at risk of developing cardiovascular diseases, such as coronary artery disease, stroke, or peripheral artery disease. Lipid disorders are abnormal levels of cholesterol or triglycerides in the blood, which can lead to plaque buildup in the arteries and reduce blood flow to the heart, brain, or limbs. Screening for lipid disorders can help diagnose and treat these conditions before they cause serious complications.
Choice B reason: Client enrollment in prevention programs is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Prevention programs are interventions that aim to reduce the risk factors or prevent the onset of diseases. Client enrollment in prevention programs may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be referred to programs that offer education, counseling, medication, or lifestyle modification.
Choice C reason: Promotion of appropriate lifestyle changes is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Lifestyle changes are behaviors that can improve health and well-being, such as eating a balanced diet, exercising regularly, quitting smoking, or managing stress. Promotion of appropriate lifestyle changes may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be advised to adopt healthier habits to lower their cholesterol or triglycerides.
Choice D reason: Identification of family history of medical problems is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Family history of medical problems is a genetic or environmental factor that can increase the likelihood of developing certain diseases. Identification of family history of medical problems may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be asked to provide information about their relatives' health conditions.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Discussing the benefits of eating a well-balanced diet with the client's family is not the first action that the nurse should take. This is an important intervention that can help the client and the family to improve their nutrition and reduce the risk of further complications, but it should be done after the nurse has assessed the family's coping and learning needs.
Choice B reason: Assisting the client and the client's partner with finding an affordable exercise program is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to increase their physical activity and enhance their cardiovascular health, but it should be done after the nurse has evaluated the client's physical and functional status.
Choice C reason: Offering to accompany the client and the client's partner during health care provider visits is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to receive support and guidance during the treatment process, but it should be done after the nurse has established rapport and trust with the family.
Choice D reason: Asking family members about the impact of the disease on relationships within the family is the first action that the nurse should take. This is based on the principle of family-centered care, which states that the nurse should recognize and respect the family as the primary source of support and care for the client. The nurse should ask open-ended questions, listen actively, and express empathy to the family members, and explore how the disease has affected their roles, responsibilities, emotions, and communication.
Correct Answer is A
Explanation
Choice A reason: Koplik spots are small, white, bluish-gray spots that appear on the inner cheeks, gums, or roof of the mouth before the rash develops. They are a characteristic sign of measles and can help to distinguish it from other viral infections.
Choice B reason: Persistent low-grade temperature is not a finding that the nurse should expect in a client who has measles. Measles typically causes a high fever that can reach up to 40°C (104°F) and lasts for four to seven days. The fever may spike when the rash appears and subside when the rash fades.
Choice C reason: Muscle aches and tenderness are not findings that the nurse should expect in a client who has measles. Measles mainly affects the respiratory system and the skin, and does not cause significant muscle involvement. The client may experience fatigue, weakness, or malaise, but not muscle pain or soreness.
Choice D reason: Rash confined to the trunk of the body is not a finding that the nurse should expect in a client who has measles. Measles causes a red, blotchy rash that usually starts on the face and spreads to the rest of the body, including the arms, legs, and feet. The rash may last for up to a week and may cause itching or peeling of the skin.
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