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Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?

Quaternary

Tertiary

Secondary

Primary

Answer and Explanation

The Correct Answer is D

A. Quaternary prevention focuses on preventing over-medicalization or unnecessary interventions in health care.

B. Tertiary prevention aims to reduce the impact of an already established disease, such as rehabilitation.

C. Secondary prevention focuses on early detection of disease to prevent progression, such as through screenings.

D. Primary prevention aims to prevent the onset of disease or injury before it occurs. Immunizations and water fluoridation are both measures that help prevent disease in the general population before it starts.

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Correct Answer is C

Explanation

A. Testing visual acuity assesses cranial nerve II (the optic nerve), not cranial nerve III.

B. Eliciting the gag reflex involves cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve III.

C. Cranial nerve III (the oculomotor nerve) controls the constriction of the pupil in response to light, so checking the pupillary response to light is the appropriate assessment for this cranial nerve.

D. Observing for facial symmetry is more related to the function of cranial nerve VII (the facial nerve).

A. Elevate the head of the bed no more than 45°. B. Use a transfer device to lift the client up in bed. C. Apply cornstarch to keep sensitive skin areas dry. D. Massage the skin over the client's bony prominences.

Correct Answer is B

Explanation

A. Elevating the head of the bed no more than 30° (not 45°) is recommended to avoid pressure on the sacrum and reduce the risk of developing pressure ulcers.

B. Using a transfer device helps to reduce friction and shear, which can prevent further damage to the skin, especially in clients at risk for pressure ulcers.

C. Cornstarch should not be applied to sensitive skin areas due to the risk of skin irritation and fungal growth.

D. Massaging bony prominences can cause tissue damage and should be avoided, as it increases the risk of skin breakdown.

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Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

Correct Answer is C

Explanation

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

Correct Answer is B

Explanation

A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instruction?

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A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

A nurse is providing nail care for a client. Which of the following actions should the nurse take?

A nurse is caring for a client who has a stage I pressure ulcer. Which of the following dressings should the nurse plan to apply?

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