A nurse is educating a 50-year-old female client.
Which of the following statements should the nurse include in the teaching?
You should have a complete eye examination every 2 years until the age of 64.
You should have your fasting blood glucose level checked every 6 years.
You should have your stool tested for blood every other year until the age of 74.
You should have your hearing screened every 5 years.
The Correct Answer is A
Choice A rationale
This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.
Choice B rationale
Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.
Choice C rationale
Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.
Choice D rationale
Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale: Herpes zoster, also known as shingles, is not a notifiable disease. It is caused by the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant in the body and can reactivate years later, causing shingles.
Choice B rationale: Elevated lead levels in a child is a notifiable condition. Lead poisoning can cause serious health problems, particularly in children, and public health departments track cases to identify sources of lead and prevent further exposure.
Choice C rationale: Streptococcus pyogenes, also known as Group A Streptococcus, can cause a variety of infections, some of which are notifiable diseases. These include invasive Group A Streptococcal disease and streptococcal toxic shock syndrome.
Choice D rationale: Tuberculosis is a notifiable disease. The Mantoux tuberculin skin test is used to detect tuberculosis infection. A reddish induration greater than 10mm, especially in a client with symptoms of tuberculosis and a history of travel to an area where tuberculosis is endemic, is suggestive of tuberculosis infection.
Correct Answer is C
Explanation
Choice A rationale
The Local Red Cross chapter is not responsible for reporting cases of Lyme disease to the CDC. The Red Cross is primarily involved in disaster response, blood donation, health and safety training and education, and support to military families.
Choice B rationale
The Hospital infection control department is not responsible for reporting cases of Lyme disease to the CDC. While hospital infection control departments play a crucial role in preventing and controlling infections within healthcare settings, they do not typically report cases of diseases like Lyme disease to national public health agencies.
Choice C rationale
The State health department is responsible for reporting cases of Lyme disease to the CDC. Reports of Lyme disease are routinely collected and verified by state and local health departments in accordance with their legal mandate and surveillance practices. After removal of personal identifiers, selected information on cases is shared with the CDC through the National Notifiable Diseases Surveillance System (NNDSS)4.
Choice D rationale
The Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and coordination of U.S. Public Health Service commissioned corps and communicates the best available scientific information to advance the health of the nation.
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