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 D
Explanation
Testing a client who has a family history for diabetes mellitus is an example of secondary prevention. Secondary prevention involves screening and early detection of diseases in individuals who are at risk but do not yet have symptoms.
Choice A is not the best answer because educating a client who has hypertension about exercises to reduce blood pressure is an example of tertiary prevention, which involves managing and treating existing diseases.
Choice B is not the best answer because providing nutrition counselling for an adolescent who is underweight is an example of primary prevention, which involves preventing diseases before they occur.
Choice C is not the best answer because teaching a group of school-age children about hand hygiene is also an example of primary prevention.
Correct Answer is B
Explanation
Evaluating the client’s home environment is the priority assessment for the case manager to perform. This will help determine if the client’s home is safe and accessible for them with their new prosthesis.
Choice A is not the correct answer because determining whether the client is eligible to go to a skilled nursing facility is important but not the priority.
Choice C is not the correct answer because collaborating with a prosthetist to teach the client about care of the prosthesis is important but not the priority.
Choice D is not the correct answer because asking whether the client’s insurance will cover home health services is important but not the priority.
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