A nurse is teaching a class about the levels of health care services. The nurse should include that emergency care is part of which of the following health care services?
Preventive care
Tertiary care
Primary care
Secondary care
The Correct Answer is C
Choice A reason:
Preventive care focuses on measures taken to prevent diseases, rather than treating them. This includes vaccinations, screenings, and lifestyle counseling. Emergency care, which deals with immediate and acute medical conditions, does not fall under preventive care. Preventive care aims to reduce the incidence of diseases and conditions before they occur, whereas emergency care addresses urgent health issues that require immediate attention.
Choice B reason:
Tertiary care involves specialized consultative care, usually on referral from primary or secondary medical care personnel. It includes advanced medical investigation and treatment, such as cancer management, neurosurgery, cardiac surgery, and other complex medical and surgical interventions. Emergency care, which provides immediate treatment for acute illnesses and injuries, is not categorized under tertiary care. Tertiary care is more about long-term and specialized treatment.
Choice C reason:
Primary care is the first point of contact for individuals entering the healthcare system. It includes general health care services provided by physicians, nurse practitioners, and physician assistants. Primary care focuses on overall health maintenance, disease prevention, and the treatment of common illnesses and conditions. Emergency care, which deals with acute and urgent medical conditions, is not part of primary care. Primary care providers may refer patients to emergency care when immediate attention is needed.
Choice D reason:
Secondary care involves specialized medical services provided by specialists after referral from a primary care provider. It includes services such as cardiology, dermatology, and orthopedics. Emergency care, which provides immediate treatment for acute medical conditions, is considered part of secondary care. Emergency departments in hospitals are staffed by specialists who provide urgent and critical care to patients.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason
Lifting the client to the bed with assistance is not recommended during a seizure. Moving the client can increase the risk of injury to both the client and the nurse. The primary focus should be on ensuring the client’s safety by preventing injury from nearby objects and allowing the seizure to run its course.
Choice B Reason
Turning the client onto their back is not advisable during a seizure. This position can increase the risk of airway obstruction and aspiration. Instead, the client should be turned onto their side to maintain an open airway and allow any secretions to drain from the mouth, reducing the risk of aspiration.
Choice C Reason
Clearing the nearby area of furniture is the most appropriate action. This helps to prevent the client from injuring themselves on hard or sharp objects during the seizure. Ensuring a safe environment is a key priority in managing a seizure, as it minimizes the risk of physical harm.
Choice D Reason
Placing a tongue depressor in the client’s mouth is an outdated and dangerous practice. It can cause injury to the client’s teeth, mouth, or airway. There is also a risk of the client biting down and breaking the depressor, leading to choking hazards. Modern seizure management guidelines strongly advise against placing any objects in the client’s mouth during a seizure.
Correct Answer is B
Explanation
Choice A reason:
Lowering the head of the client’s bed to 15 degrees can help facilitate the drainage of the NG tube. This position uses gravity to assist in the movement of gastric contents through the tube. However, it is not the most effective method to address the issue of the NG tube not draining. This action might be more appropriate for other clinical scenarios, such as preventing aspiration, but it is not the primary intervention for a non-draining NG tube.
Choice B reason:
Injecting 10 mL of air into the vent lumen is a common technique used to clear an obstruction in the NG tube. This action can help dislodge any blockages that may be preventing the tube from draining properly. By injecting air, the nurse can ensure that the tube is patent and functioning correctly. This method is often recommended in clinical guidelines for managing NG tube blockages.
Choice C reason:
Placing the NG tube to high suction is not recommended as it can cause damage to the gastric mucosa and lead to complications such as bleeding or ulceration. High suction can create excessive negative pressure, which can harm the delicate tissues of the stomach lining. Therefore, this action is not appropriate for managing a non-draining NG tube and should be avoided.
Choice D reason:
Connecting the air vent to the suction is incorrect and can lead to malfunction of the NG tube. The air vent, also known as the pigtail, is designed to allow air to enter the stomach and prevent the tube from adhering to the gastric mucosa. Connecting it to suction would negate its purpose and could cause the tube to become blocked or damaged. This action is not recommended in any clinical guidelines for NG tube management.
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