The nurse implements a tertiary prevention program for type 2 diabetes mellitus in a rural health clinic. Which outcome indicates that the program was effective?

Only 30% of clients did not attend self-management education sessions.

Average client scores improved on specific risk factor knowledge tests.

Clients who developed disease complications promptly received rehabilitation.

More than 50% of at-risk clients were diagnosed early in their disease process.

Answer and Explanation

The Correct Answer is C

A. Only 30% of clients did not attend self-management education sessions: This outcome does not directly indicate the effectiveness of a tertiary prevention program, which focuses on managing disease complications and improving quality of life after diagnosis.

B. Average client scores improved on specific risk factor knowledge tests: Improved knowledge is important, but tertiary prevention aims more at managing and reducing the impact of complications in individuals who already have the disease.

C. Clients who developed disease complications promptly received rehabilitation: Tertiary prevention focuses on minimizing the impact of established disease and preventing further disability. Effective rehabilitation for clients with complications demonstrates successful tertiary prevention.

D. More than 50% of at-risk clients were diagnosed early in their disease process: Early diagnosis falls under secondary prevention, not tertiary. Secondary prevention aims to identify and treat disease early to prevent complications, not managing existing complications.

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Correct Answer is A

Explanation

A. Maintain the client on an NPO status: After bariatric surgery, vomiting and the inability to tolerate food and liquids could indicate complications such as gastric outlet obstruction or stenosis. Maintaining NPO status allows the gastrointestinal system to rest while the cause of the symptoms is investigated and treated.

B. Determine if the client is over-hydrating to feel satiated: While over-hydration can cause discomfort, the immediate concern is the client's inability to tolerate food and liquids, which may suggest a more serious issue.

C. Administer daily vitamin supplements: While vitamin supplementation is essential after bariatric surgery to prevent deficiencies, it does not directly address the current issue of vomiting and inability to tolerate food and liquids.

D. Encourage positive self accolades for dietary adherence: Though reinforcing positive behavior is important in long-term weight loss management, it is not the priority at this moment. The immediate focus is addressing the client's symptoms and ensuring they are medically managed.

A. Ensure supplemental oxygen and respiratory medications are available at all times. B. Use nasal or cough tissues followed by handwashing at all times. C. Avoid large crowed areas during the colder months of the year. D. Get annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines.

Correct Answer is D

Explanation

A. Ensure supplemental oxygen and respiratory medications are available at all times: Access to medications and oxygen is essential for managing acute symptoms, but this measure focuses on treatment, not prevention.

B. Use nasal or cough tissues followed by handwashing at all times: Proper hygiene can limit infection spread, but it does not offer strong enough protection alone. It is supportive but not the most comprehensive or impactful preventive measure for respiratory clients.

C. Avoid large crowded areas during the colder months of the year: Crowd avoidance can reduce exposure to respiratory infections, but it is a general guideline. Immunizations offer more reliable protection against the common causes of exacerbations in clients with chronic respiratory diseases.

D. Get annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines: Vaccinations are the most important preventive step for clients with chronic respiratory conditions. These clients are at high risk for complications from influenza and pneumococcal infections, and immunization significantly lowers the incidence and severity of these diseases.

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The nurse implements a tertiary prevention program for type 2 diabetes mellitus in a rural health clinic. Which outcome indicates that the program was effective?

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Naxlex Comprehensive Predictor Exams

A client who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. The client is pain free. Which intervention should the nurse include in the client's plan of care?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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