The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

Clients who incurred disease complications promptly received rehabilitation.

More than half of at-risk clients were diagnosed early in their disease process.

Average client scores improved on specific risk factor knowledge tests.

New screening protocols were developed, validated, and implemented.

Answer and Explanation

The Correct Answer is C

A.   Clients who incurred disease complications promptly received rehabilitation: This outcome suggests that the focus is on secondary prevention rather than primary prevention.
B.   More than half of at-risk clients were diagnosed early in their disease process: While early diagnosis is important, it is not a direct measure of the effectiveness of a primary prevention program.
C.   Average client scores improved on specific risk factor knowledge tests: This outcome indicates that clients are better informed about risk factors for sexually transmitted diseases, suggesting that the primary prevention program has been effective in increasing awareness and knowledge.
D.   New screening protocols were developed, validated, and implemented: While developing new screening protocols may be beneficial, it does not directly measure the effectiveness of the
primary prevention program.

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Correct Answer is C

Explanation

A. This statement is not accurate and may alarm the family unnecessarily. Delirium is often reversible and can have various causes, including medical conditions, medications, and environmental factors. Institutionalization is not always necessary.
B. This statement jumps to conclusions and may cause unnecessary distress to the family. While dementia is a possibility, it is not appropriate to make a diagnosis without further assessment and evaluation by a healthcare provider.
C. This response acknowledges the family's concerns and suggests a possible cause for the client's symptoms. Depression can manifest as cognitive symptoms such as difficulty
concentrating and remembering, and it is often reversible with appropriate treatment and support.
D. Alzheimer's disease is a progressive neurodegenerative disorder and is not typically reversible. This statement may give false hope to the family and does not address the client's current symptoms effectively.

A. Have you experienced ankle edema and varicose veins? B. Did you receive treatment for weeping ulcers on lower legs? C. Were your legs ever suddenly swollen, red, warm, and painful? D. Does the calf pain occur when walking short distances?

Correct Answer is D

Explanation

A. Ankle edema and varicose veins are more commonly associated with venous insufficiency rather than peripheral arterial disease. Asking about these symptoms may not provide relevant information about chronic arterial symptoms.
B. Weeping ulcers on the lower legs are more indicative of venous insufficiency rather than peripheral arterial disease. Asking about these ulcers may not provide relevant information about chronic arterial symptoms.
C. Sudden onset of leg swelling, redness, warmth, and pain is suggestive of acute arterial occlusion rather than chronic arterial symptoms. Asking about these symptoms may be important for assessing acute arterial events, but it does not specifically address chronic arterial symptoms.
D. Peripheral arterial disease commonly presents with intermittent claudication, which causes calf pain or discomfort during physical activity, such as walking short distances. Asking about calf pain during walking can help assess for symptoms of peripheral arterial disease and its
impact on mobility and quality of life.

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The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client arrives for an annual physical exam and reports having calf pain. The client's health history reveals peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

Correct Answer is D

Explanation

A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

A client has a prescription for the insertion of a nasogastric tube to low intermittent suction. When inserting the nasogastric tube, the nurse observes an immediate return of "coffee ground" drainage. Which action should the nurse implement?

A client with a history of rheumatic fever is diagnosed with mitral valve stenosis. The client has shortness of breath with exertion and fatigue. Which assessment finding warrants immediate intervention by the nurse?

A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding should the nurse use in planning the client's care?

An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?