A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Educate clients who are at risk for Parkinson's disease about maintaining a low-cholesterol diet.

Provide screenings for community members to identify early manifestations of Parkinson's disease.

Educate clients about common techniques used to diagnose Parkinson's disease.

Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease.

Answer and Explanation

The Correct Answer is D

A) Educating clients about maintaining a low-cholesterol diet is a form of primary prevention aimed at reducing risk factors for chronic diseases, but it does not directly address individuals already diagnosed with Parkinson's disease. This intervention focuses more on general health rather than managing an existing condition.

B) Providing screenings for early manifestations of Parkinson's disease represents secondary prevention, as it aims to identify the disease at an early stage to allow for timely intervention. However, this option does not apply to clients who already have Parkinson's disease, thus it is not a tertiary prevention strategy.

C) Educating clients about techniques used to diagnose Parkinson's disease is informative but primarily falls under secondary prevention. It pertains to awareness rather than actively managing the condition in those already diagnosed.

D) Providing daily exercise classes to improve ambulation for clients who have Parkinson's disease is a tertiary prevention strategy. This intervention focuses on rehabilitation and improving the quality of life for individuals already diagnosed with the disease, aiming to manage symptoms and prevent further complications associated with Parkinson's disease.

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Correct Answer is D

Explanation

A. Determine the need for additional providers: While nurses can assess patient needs, determining the need for additional providers is typically a responsibility of management or command staff in a disaster situation.

B. Act as a spokesperson to provide information to the media: This role is generally assigned to a designated communications officer or public relations personnel, not a unit nurse, as media interactions require specific training and authorization.

C. Decide which clients should be transported for a higher level of care: This decision usually involves a multidisciplinary team and is not solely the responsibility of a unit nurse. It often requires input from physicians and administrative personnel.

D. Recommend to the provider a list of clients for early discharge: This is a responsibility that falls within the scope of a unit nurse's duties during a disaster. Nurses can assess their patients' conditions and recommend which patients may be stable enough for early discharge to make room for more critical cases.

A. A client who has a hip fracture and a new onset of tachypnea. B. A client who has sinus arrhythmia and is receiving cardiac monitoring. C. A client who has diabetes mellitus and an HbA1c of 7.2% (less than 7%). D. A client who has epidural analgesia and weakness in the lower extremities.

Correct Answer is A

Explanation

A) A client with a hip fracture and new onset of tachypnea is a priority for assessment. Tachypnea can indicate respiratory distress, possible pulmonary embolism, or complications related to the fracture. Prompt evaluation is critical to ensure timely intervention and prevent further complications.

B) A client with sinus arrhythmia receiving cardiac monitoring is generally stable, as sinus arrhythmia is often benign and not immediately life-threatening. While ongoing monitoring is important, this client does not require immediate assessment over those presenting with more acute symptoms.

C) A client with diabetes mellitus and an HbA1c of 7.2% is slightly above the recommended target, but this finding does not indicate an immediate concern requiring urgent assessment. This client can be monitored but does not need priority attention compared to others with acute issues.

D) A client with epidural analgesia and weakness in the lower extremities is concerning, but if the client is stable and there are no additional alarming signs (such as respiratory distress or severe neurological changes), they can be assessed after more critical clients. Monitoring for side effects from epidural analgesia is important, but it is not as urgent as assessing new respiratory symptoms.

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A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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