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?
Encourage a pregnant client to participate in prenatal care.
Advocate for laws that prohibit texting while driving.
Refer a client who is recovering from a substance use disorder to a social service program.
Provide a smoking cessation class.
The Correct Answer is C
The nurse should identify option C, "Refer a client who is recovering from a substance use disorder to a social service program," as a secondary prevention activity. This intervention focuses on early identification and intervention to prevent further harm or complications related to substance use disorder.
Option A is a primary prevention activity, as it focuses on preventing the development of complications through early intervention and education.
Option B is a tertiary prevention activity, as it focuses on reducing the impact of a disease or injury that has already occurred.
Option D is also a tertiary prevention activity, as it focuses on reducing the impact of a disease that has already occurred.
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Correct Answer is A
Explanation
According to the fire safety guidelines for hospitals, the nurse’s priority in this situation is to move the client to another location. This is because the client’s safety and well-being are the most important considerations in a fire emergency. The nurse should move the client to a safe area away from the fire, preferably behind a fire door or in another fire compartment. The nurse should also close the door of the room where the fire is to prevent the spread of smoke and flames.
The nurse should then activate the alarm to alert other staff and the fire department. The nurse should also use a fire extinguisher to attempt to extinguish the fire, if it is safe and feasible to do so. However, the nurse should not put themselves or the client at risk by trying to fight the fire. The nurse should follow the RACE acronym for fire response: Rescue, Alarm, Contain, and Extinguish.
Correct Answer is B
Explanation
This statement is appropriate because it is a recommended preventive health measure for women in this age group to detect any potential eye problems early on.
Option A is incorrect because the American Diabetes Association recommends that individuals over the age of 45 should have their fasting blood glucose level checked every 3 years, not every 6 years.
Option C is incorrect because the United States Preventive Services Task Force does not recommend routine hearing screening in adults who do not have any symptoms of hearing loss.
Option D is incorrect because the American Cancer Society recommends that individuals over the age of 50 should have a screening colonoscopy every 10 years or a fecal occult blood test every year, not every other year until the age of 74.
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