A nurse is conducting a workshop on the importance of interprofessional collaboration. Which of the following is included in the tertiary prevention phase in interprofessional care?

Conducting routine health screenings for early disease detection.

Administering vaccinations to prevent infectious diseases.

Developing a rehabilitation plan for a client post-stroke.

Educating a community about healthy lifestyle choices.

Answer and Explanation

The Correct Answer is C

Choice A reason: Routine health screenings are part of secondary prevention, focusing on early detection of diseases before symptoms appear. Tertiary prevention addresses management after diagnosis, so this action is misaligned with the phase, making it incorrect for the workshop content.
Choice B reason: Administering vaccinations is primary prevention, aimed at preventing diseases before they occur. Tertiary prevention involves managing existing conditions, so vaccinations do not fit this phase, making this an incorrect choice for interprofessional care focus.
Choice C reason: Developing a rehabilitation plan post-stroke is tertiary prevention, as it minimizes disability and improves function after a disease event. This collaborative effort involves multiple disciplines (e.g., PT, OT), aligning with interprofessional care goals, making it the correct choice.
Choice D reason: Educating about healthy lifestyles is primary prevention, promoting health to prevent disease onset. Tertiary prevention focuses on managing established conditions, so this action is incorrect for the tertiary phase in interprofessional collaboration.

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Correct Answer is C

Explanation

Choice A reason: A heart rate of 60/min is within normal range and does not indicate fluid overload, which may present with tachycardia due to increased cardiac workload. This finding is more consistent with normal physiology or hypovolemia, making it incorrect for identifying fluid overload.
Choice B reason: Skin warm and dry suggests normal hydration or dehydration, not fluid overload, which typically causes edema or moist skin. Dry skin indicates fluid deficit, not excess, making this finding irrelevant and incorrect for assessing fluid overload in this client.
Choice C reason: A respiratory rate of 30/min indicates tachypnea, a sign of fluid overload due to pulmonary edema from excess IV fluids. Fluid in the lungs impairs gas exchange, increasing breathing effort, aligning with clinical manifestations of overload, making this the correct finding.
Choice D reason: Tenting skin turgor indicates dehydration, not fluid overload, as it reflects reduced skin elasticity from fluid loss. Fluid overload causes edema, not tenting, making this finding opposite to the expected presentation and incorrect for this scenario.

A. Open the sterile drape by touching the inner surface first. B. Place sterile items within a 1-inch border of the drape. C. Hold sterile instruments above the waist and away from the body. D. Pour sterile solution directly from a container held 12 inches above.

Correct Answer is C

Explanation

Choice A reason: Touching the inner surface of a sterile drape first contaminates it, as only sterile gloves should contact this area. Outer edges are handled to maintain sterility, so this action violates sterile technique, making it incorrect.
Choice B reason: Placing items within a 1-inch border of the drape is incorrect, as this border is considered non-sterile. Sterile items must be placed centrally to avoid contamination, so this action breaches sterile field principles, making it incorrect.
Choice C reason: Holding sterile instruments above the waist and away from the body maintains sterility, as areas below the waist or close to the body are considered contaminated. This aligns with aseptic technique, making it the correct action for sterile field preparation.
Choice D reason: Pouring solution from 12 inches above risks splashing, contaminating the sterile field. Solutions should be poured from 4-6 inches to control flow and maintain sterility, so this action is incorrect and unsafe for sterile procedures.

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A nurse is conducting a workshop on the importance of interprofessional collaboration. Which of the following is included in the tertiary prevention phase in interprofessional care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a client who received intermittent IV fluids. Which of the following findings indicates the client has a fluid overload?

Correct Answer is C

Explanation

A nurse is preparing a sterile field for a client who requires a sterile procedure. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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