A nurse is providing teaching about health promotion guidelines to a group of young adult male clients. Which of the following guidelines should the nurse include?

Obtain a herpes zoster immunization by age 50.

Obtain a tetanus booster every 5 years."

Have a testicular examination every 2 years.

"Have a dental examination every 6 months.

Answer and Explanation

The Correct Answer is D

Health promotion is the process of enabling people to increase control over their health and its determinants, and thereby improve their health. Health promotion guidelines are recommendations that help people prevent diseases and maintain optimal health status. One of the guidelines that the nurse should include in the teaching for young adult male clients is to have a dental examination every 6 months, as this can help prevent oral diseases and detect any problems early.

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Correct Answer is ["A","B","E"]

Explanation

The nurse should secure restraints to allow three fingers to slide under the restraints to prevent circulation impairment and nerve damage. The nurse should also assess skin temperature and color before applying the restraints to establish a baseline and monitor for signs of ischemia. The nurse should ensure that the client's bed is in the lowest position to reduce the risk of injury from falls. The nurse should pad bony prominences before applying the restraints to prevent skin breakdown and pressure ulcers. The nurse should not attach the client's restraints to the bed rail because this can cause injury if the bed is moved or adjusted. The nurse should attach the restraints to a part of the bed frame that moves with the client, such as the mattress support platform.

A. Apply cornstarch to the client's skin. B. Reposition the client every 4 hr. C. Request a prescription for an indwelling urinary catheter. D. Arrange for an alternating pressure mattress.

Correct Answer is D

Explanation

Arrange for an alternating pressure mattress. The rationale for this answer is that an alternating pressure mattress is a device that inflates and deflates air cells to redistribute pressure and prevent pressure ulcers. This is an effective measure to prevent skin breakdown for a client who is immobile and at risk for tissue ischemia.

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A nurse is providing teaching about health promotion guidelines to a group of young adult male clients. Which of the following guidelines should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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