A nurse is speaking with several clients at a health fair.
Which of the following statements should the nurse assess further?
"Prepare my medications for the week on Sundays.".
"Prepare all of my own meals.".
"Need to change my hearing aid battery weekly.".
"Have to turn my head completely to see things that are beside me.".
The Correct Answer is D
This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.
Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.
Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.
Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
The correct answers are choices A, B, and C.
Choice A rationale:
Maintaining the head of the client’s bed in an elevated position after eating can help reduce nausea by preventing gastric reflux and promoting better digestion.This position helps keep stomach contents from moving back up into the esophagus, which can trigger nausea.
Choice B rationale:
Assisting the client in using guided imagery is a beneficial non-pharmacological intervention for managing chemotherapy-induced nausea.Guided imagery involves using mental visualization techniques to create calming and positive images, which can help distract the mind from nausea and reduce its intensity.
Choice C rationale:
Providing sips of room-temperature ginger ale between meals can help alleviate nausea. Ginger has natural antiemetic properties that can help soothe the stomach and reduce nausea.Room-temperature liquids are often easier to tolerate than cold or hot beverages.
Choice D rationale:
Using seasonings to enhance the flavor of foods is not typically recommended for clients experiencing chemotherapy-induced nausea. Strong flavors and smells can sometimes exacerbate nausea rather than alleviate it.Bland, easy-to-digest foods are usually better tolerated.
Correct Answer is A
Explanation
This intervention is a secondary prevention strategy because it involves screening and early intervention to address potential mental health concerns among disaster survivors.
Choices B, C, and D are not secondary prevention strategies.
Publishing a listing of shelter locations in local media sources (choice B) is a primary prevention strategy because it involves providing information to the public before a disaster occurs.
Providing age-appropriate activities for shelter residents (choice C) and compiling resources available to transition individuals from shelters to a home (choice D) are tertiary prevention strategies because they involve providing support and resources to individuals who have already been affected by a disaster
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