A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

Identifying several local smoking cessation support groups.

Giving an influenza vaccination in early autumn of each year.

Suggesting the patient attend "Cooking to Manage Hypertension" classes taught by a registered dietician

Providing the patient with a take-home occult stool screening kit

Giving a pneumococcal vaccination to celebrate the patients 65th birthday.

Answer and Explanation

Correct Answer : A,B,C,E

A. This option is relevant to primary disease prevention because it aims to prevent smoking-related diseases before they occur. By providing information about smoking cessation support groups, the nurse helps the patient reduce or eliminate a major risk factor for many serious diseases, including cancer and cardiovascular disease. This aligns with the goals of primary prevention.

B.A This option is a form of primary disease prevention. The influenza vaccination helps prevent the flu before it starts, thus reducing the risk of illness and its complications. Vaccinations are a classic example of primary prevention, as they protect against diseases before they occur.
C.   This option also aligns with primary disease prevention. Teaching the patient about dietary changes to manage hypertension can help prevent the development of hypertension-related complications such as heart disease or stroke. By addressing dietary habits before hypertension develops, this intervention supports primary prevention.
D.   This option is not primarily a primary prevention measure. Occult stool screening kits are used for early detection of colorectal cancer, which is more about secondary prevention. Secondary prevention focuses on early detection and intervention to reduce the impact of a disease once it has already developed but before symptoms appear.
E.   This option represents primary disease prevention. The pneumococcal vaccine helps prevent pneumonia and other serious infections caused by pneumococcal bacteria. Vaccination, especially in older adults, is an effective method to prevent illness before it occurs, fitting the primary prevention category.

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Correct Answer is B

Explanation

A. While controlling blood pressure is the primary goal of propranolol therapy, it doesn't directly address the medication's potential impact on quality of life.
B. Propranolol, a beta-blocker, is commonly used to treat hypertension. Dizziness is a common side effect of this medication. Therefore, the best indicator of goal success regarding the drug's effect on the patient's quality of life is the absence of injuries related to dizziness. This indicates that the patient is able to manage the side effect and continue their daily activities safely.
C. If the patient experiences adverse drug reactions, it indicates that the medication is not being tolerated well and may need to be adjusted or discontinued.
D. While regular exercise is important for overall health, it doesn't directly address the specific goal of improving the patient's quality of life in relation to the medication.

A. develop withdrawal symptoms 48 to 72 hours after the last intake of alcohol B. be prescribed oxazepam (Serax) C. experience delirium tremors within 4 hours of hospitalization D. receive 1 ounce of alcohol every 4 hours while awake

Correct Answer is A

Explanation

A. Symptoms of alcohol withdrawal typically begin within 6 to 24 hours after the last drink, with peak symptoms usually occurring between 48 and 72 hours. Delirium tremens (DTs), a severe form of withdrawal, usually develops within this timeframe if not managed properly.
B. This choice is partially correct but less specific. Oxazepam (Serax) is a benzodiazepine that can be prescribed to manage alcohol withdrawal symptoms, especially in patients with liver impairment, as it is metabolized differently from other benzodiazepines. However, it is not the only medication used; lorazepam (Ativan) and diazepam (Valium) are also commonly used to manage withdrawal symptoms.

C. This choice is less likely to be correct. Delirium tremens (DTs) is a severe form of alcohol withdrawal characterized by confusion, agitation, hallucinations, and autonomic instability. DTs typically develop between 48 and 72 hours after the last drink, not within 4 hours. Symptoms that occur within 4 hours of hospitalization are more likely to be early withdrawal symptoms rather than DTs.
D. This choice is not a standard treatment for alcohol withdrawal. While some facilities might use a tapering protocol to gradually reduce alcohol intake, in most cases, the goal is to manage withdrawal symptoms using medications rather than providing alcohol. The use of medication such as benzodiazepines is preferred to manage symptoms and prevent complications. Giving alcohol is not a standard or recommended approach for managing withdrawal in acute care settings.

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A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drugs potential effect on the patients quality of life?

Correct Answer is B

Explanation

A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain. Based on your understanding of alcohol withdrawal, the nurse knows that if patient is currently abusing alcohol, he will most likely.

Correct Answer is A

Explanation

The nurse is discussing an older adult’s past marital history during the admission assessment. The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact. Being culturally sensitive, the nurse recognizes that the patients actions are most likely a(n):

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin ll blocking agents. These drugs are especially useful in older adults because they: