A nurse is providing teaching to a 50-year-old female client.
Which of the following statements should the nurse include in the teaching?
"You should have your fasting blood glucose level checked every 6 years.".
"You should have a complete eye examination every 2 years until the age of 64.".
"You should have your hearing screened every 5 years.".
"You should have your stool tested for blood every other year until the age of 74.".
The Correct Answer is B
The correct answer is choice B: "You should have a complete eye examination every 2 years until the age of 64."
Choice B rationale: The American Academy of Ophthalmology recommends that adults with no risk factors or symptoms of eye disease have a comprehensive eye examination at least once between the ages of 20 and 29, and at least twice between the ages of 30 and 39. For individuals aged 40 to 64, they should have a comprehensive eye examination every 2 to 4 years. The recommendation for those 65 and older is an examination every 1 to 2 years. This choice aligns with the general guidelines for comprehensive eye examinations.
Choice A rationale: The American Diabetes Association recommends screening for diabetes in individuals with risk factors or at least every 3 years for those over 45 years old. This recommendation differs from the suggestion in choice A, making it a less accurate option.
Choice C rationale: Hearing screening for adults over 50 years old should be conducted every 3 to 5 years, according to general guidelines. Choice C suggests a hearing screening every 5 years, which is at the upper end of the recommended range, but it is not the most appropriate option provided.
Choice D rationale: The American Cancer Society recommends that adults with an average risk for colorectal cancer should begin screening at age 45, with stool testing being one possible screening method. However, this recommendation differs from the statement provided in choice D, making it incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Secondary prevention strategies aim to address the needs of survivors of violence and abuse and prevent recurrence.
Referring clients to the appropriate community agency if signs of abuse are evident is an example of a secondary prevention strategy 1.
Choice Bis incorrect because coordinating a personal defense program at a local agency is also an example of primary prevention.
Choice Cis incorrect because assessing clients for withdrawal and passivity during home health visits is a form of screening, which can be considered as either primary or secondary prevention depending on the context.
Choice Dis incorrect because teaching a parenting skills class at a child development center is an example of primary prevention, which aims to prevent violence and abuse from happening in the first place.
Correct Answer is B
Explanation
As a case manager, one of the interventions that should be planned is to assess the client’s need for wound care supplies to ensure that they have the necessary resources to properly care for their burn injury.
Choice A, “Deliver family counseling to members of the client’s household,” is not within the scope of a case manager’s responsibilities.
Choice C, “Administer personal care with bathing, dressing, and meal preparation for the client,” is not within the scope of a case manager’s responsibilities.
Choice D, “Provide physical and occupational therapy for the client in her home,” is not within the scope of a case manager’s responsibilities.
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