Patient Data

Exhibits

Review H and P, nurse's notes, and laboratory results.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress,

Answer and Explanation

The Correct Answer is []

Potential condition: Polycythemia

Actions to take

Have the parents increase the child's caloric intake: Polycythemia in children with tetralogy of Fallot can be managed by ensuring adequate hydration and nutrition. Increasing caloric intake helps support growth and development and can prevent excessive erythrocytosis.

Take the child's vital signs: Regular monitoring of vital signs, including heart rate, respiratory rate, blood pressure, and temperature, is essential to assess the child's cardiovascular status and response to treatment.

Parameters to monitor

Oxygen saturation: Monitoring oxygen saturation helps assess the adequacy of pulmonary blood flow and oxygenation in a child with tetralogy of Fallot and polycythemia.

Weight: Monitoring weight is crucial to assess growth and nutritional status. Children with tetralogy of Fallot may have poor weight gain due to increased metabolic demands and potential feeding difficulties.

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Correct Answer is D

Explanation

Rationale

A. While support groups are important for individuals dealing with chronic illnesses or specific health issues, they are not directly related to primary disease prevention. Support groups focus more on coping, emotional support, and managing existing conditions rather than preventing diseases.

B. Domestic violence assistance is crucial for community health and safety, but it is not typically categorized under primary disease prevention. Domestic violence is a social issue that requires interventions aimed at prevention and support for victims, rather than preventing diseases through health promotion and education.

C. Blood pressure screening is an example of a primary disease prevention activity. High blood pressure (hypertension) is a significant risk factor for cardiovascular diseases such as heart attack and stroke. By screening individuals for hypertension, nurses can identify those at risk early and provide education on lifestyle modifications or medical interventions to prevent cardiovascular disease.

D. Immunizations are a cornerstone of primary disease prevention. Vaccines prevent infectious diseases by stimulating the immune system to produce immunity against specific pathogens. Community outreach programs that educate the public about immunizations help increase vaccination rates, thereby reducing the incidence of vaccine-preventable diseases in the population.

A. Green leafy vegetables. B. Fresh fruits. C. Yogurt or buttermilk. D. Avocados and cheese.

Correct Answer is C

Explanation

Rationale

A. Green leafy vegetables do not interact with cefdinir. They are generally a healthy choice and can be encouraged without any concerns related to the antibiotic therapy.

B. Fresh fruits are also safe to consume with cefdinir. There are no interactions between fruits and this antibiotic.

C. Yogurt and buttermilk contain probiotics, which are beneficial bacteria that can help maintain gut health. Antibiotics like cefdinir can disrupt the normal gut flora, leading to diarrhea or other gastrointestinal issues. Consuming yogurt or buttermilk with live cultures may help replenish beneficial bacteria in the gut and reduce the risk of antibiotic-associated diarrhea.

D. Avocados and cheese are also safe choices. There are no specific interactions between these foods and cefdinir.

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Actions to take

Parameters to monitor

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

Correct Answer is D

Explanation

The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

Correct Answer is C

Explanation

When preparing a client for an intravenous pyelogram (IVP), it is essential for the nurse to take which action?

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