A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Secondary

Disease process

Tertiary

Primary

Answer and Explanation

The Correct Answer is C

A. Secondary: Secondary prevention involves early detection and prompt intervention to prevent progression of disease.
B. Disease process: This term does not describe a level of prevention.
C. Tertiary: Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects. Rehabilitation after a stroke is an example of tertiary prevention.
D. Primary: Primary prevention aims to prevent disease or injury before it ever occurs.

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Correct Answer is B

Explanation

A. Assessment: Assessment is the initial data collection phase before intervention.
B. Evaluation: Evaluation involves determining the effectiveness of an intervention. Checking blood sugar after administering insulin is evaluating the effectiveness of the insulin.
C. Planning: Planning involves setting goals and deciding on interventions, not the follow-up.
D. Implementation: Implementation involves carrying out the planned interventions, such as administering insulin, not checking the results.

A. "There are no provider's prescriptions available." B. "The client should be seen by a neurologist." C. "The client is disoriented. Pupils are slow to respond to light." D. "The client was found unconscious on the floor in her home."

Correct Answer is B

Explanation

A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.

C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.

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A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

Correct Answer is B

Explanation

A nurse is planning to use the SBAR communication tool when giving on coming shift report. Which of the following statements should the nurse include in the R step?

Correct Answer is B

Explanation

The medical surgical nurse works with the interdisciplinary team to provide care for a stroke patient. Which of the following team members will be required for referring a physical therapist?

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

A nurse is planning a community diabetes mellitus management program. Which of the following SMART goals should the nurse include for the client?

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

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