A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?
Advocate for laws that prohibit texting while driving.
Provide a smoking cessation class.
Refer a client who is recovering from a substance use disorder to a social service program.
Encourage a pregnant client to participate in prenatal care.
The Correct Answer is B
The correct answer is Choice B because "Provide a smoking cessation class." Secondary prevention activities aim to detect and treat a disease in its early stages. In the case of smoking cessation classes, it is a secondary prevention activity because it aims to detect and treat the harmful effects of smoking before it progresses to a more serious condition such as lung cancer or chronic obstructive pulmonary disease.
Choice A is wrong because, "Advocate for laws that prohibit texting while driving," is not the correct answer because it is an example of primary prevention, which aims to prevent the onset of a disease or injury. Choice C is wrong because, "Refer a client who is recovering from a substance use disorder to a social service program," is an example of tertiary prevention, which aims to prevent complications or further progression of a disease. Choice D is wrong because, "Encourage a pregnant client to participate in prenatal care," is also an example of primary prevention, which focuses on preventing the onset of a disease or condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Interventions for Chemotherapy-Induced Nausea: Analyzing the Choices
The prompt describes a home health nurse caring for a client experiencing chemotherapy-induced nausea resistant to pharmacological interventions. We need to analyze the effectiveness of each offered intervention based on evidence and rationale:
a. Maintain the head of the client's bed in an elevated position after eating.
Rationale:
- Supportive:Some studies suggest elevating the head of the bed by 30-45 degrees might reduce gastroesophageal reflux and nausea after meals.
b. Provide sips of room-temperature ginger ale between meals.
Rationale:
- Supportive:Ginger has demonstrated antiemetic properties in several studies,potentially reducing nausea and vomiting.Room-temperature liquids are generally better tolerated than cold or hot ones for nausea.
- Considerations:The effectiveness of ginger may vary between individuals,and potential interactions with other medications should be checked.
c. Offer 120 mL (4 oz) of cold milk as a meal replacement.
Rationale:
- Unsupportive:Replacing meals with small volumes of milk is inadequate for nutritional needs and can worsen nausea due to an empty stomach.Chemotherapy can already impact appetite and nutrient intake,and offering small,frequent meals is generally recommended.
- Potential harm:Skipping meals can lead to electrolyte imbalances,dehydration,and further weaken the client.
d. Use seasonings to enhance the flavor of foods.
Rationale:
- Mixed evidence:While strong odors or unfamiliar flavors can trigger nausea in some clients,using bland or mild seasonings might not be universally effective.Some studies suggest offering preferred or familiar flavors based on individual preferences could improve appetite and tolerance.
- Individualization:Experimenting with different spices and flavors based on the client's preferences and observing their response is crucial.
e. Assist the client in using guided imagery.
Rationale:
- Supportive:Guided imagery is a relaxation technique that can help manage nausea by distracting the client from the unpleasant sensation and promoting feelings of calmness.Studies have shown its effectiveness in reducing nausea and vomiting in various contexts,including chemotherapy.
- Considerations:Not all clients may be receptive to guided imagery,and its success depends on individual preferences and practice.
In conclusion, the most appropriate interventions for the client include:
- Providing sips of room-temperature ginger ale between meals (choice b).
- Assisting the client in using guided imagery (choice e).
Choices a, c, and d require further evaluation or are not generally recommended based on current evidence.
Correct Answer is A
Explanation
The correct answer is Choice A because, "I will be taking medication daily for at least 6 months." Tuberculosis is a bacterial infection that requires treatment with antibiotics for at least 6 months to ensure that the bacteria are completely eradicated. The client's statement indicates that they understand the importance of completing the full course of treatment.
Choice B is wrong because, "I will need to have a special HEPA filter installed in my home," is not the correct answer because although HEPA filters can help reduce the spread of tuberculosis, it is not a priority in client education.
Choice C is wrong because, "I will make sure to stop taking my medication as soon as I start feeling better," is not the correct answer because stopping medication too soon can lead to the development of drug-resistant tuberculosis and the return of symptoms.
Choice D is wrong because, "I can stop taking my medication once my cough goes away," is not the correct answer because a cough can persist even after the bacteria have been eliminated, and stopping medication too soon can lead to a relapse of the disease.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.