The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?

Teaching about adhering to a low-sodium diet

Assessing for risk factors for heart disease

Screening for tuberculosis

Screening for breast cancer every 5 years

Answer and Explanation

The Correct Answer is A

A. Teaching about adhering to a low-sodium diet: This is tertiary prevention because it aims to manage an existing condition—heart failure—and prevent its complications or recurrence. Educating the client about dietary changes helps reduce fluid overload and risk of readmission.

B. Assessing for risk factors for heart disease: This is considered primary prevention, as it focuses on identifying and addressing potential causes of disease before symptoms occur. It is not appropriate for someone who already has a diagnosed condition.

C. Screening for tuberculosis: Tuberculosis screening is a form of secondary prevention aimed at early detection of disease in asymptomatic individuals. It does not apply to managing an existing chronic illness like heart failure.

D. Screening for breast cancer every 5 years: This is secondary prevention used for early disease detection in people without symptoms. It does not represent managing or preventing worsening of a diagnosed condition.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. Muscle hypertrophy: Muscle hypertrophy occurs with regular use and resistance training. For a patient with limited mobility, muscle atrophy occurs due to prolonged disuse, weakening muscles over time. Lack of movement results in loss of muscle mass, not growth.

B. Depression: Limited mobility and inactivity can lead to feelings of isolation, frustration, and helplessness, which can significantly increase the risk of depression. Lack of physical activity and reduced social interaction make mental health challenges more prominent.

C. Deep Vein Thrombosis (DVT): DVT is caused by prolonged immobility, which leads to blood stasis in the veins and promotes clot formation. With limited movement, the blood flow in the lower extremities slows, increasing the risk for deep vein thrombosis in these patients.

D. Pneumonia: Prolonged immobility impairs the ability to clear respiratory secretions, which increases the risk of aspiration and lung infections like pneumonia. The lack of lung expansion due to immobility can lead to atelectasis, further promoting susceptibility to respiratory infections.

E. Diarrhea: Immobility may cause gastrointestinal problems like constipation due to slowed digestion, but it is not linked to diarrhea, which is generally caused by infections, medications, or dietary changes rather than immobility.

A. Back of the knee B. The bend of the arm C. The neck D. Top of the foot

Correct Answer is D

Explanation

A. Back of the knee: The back of the knee is where the popliteal pulse is located, not the pedal pulse. The popliteal pulse is assessed behind the knee and is not related to the foot or pedal area.

B. The bend of the arm: The pulse at the bend of the arm is the brachial pulse, which is located at the elbow. This is unrelated to the pedal pulse, which is found at the foot.

C. The neck: The neck contains the carotid pulse, which is assessed by palpating the carotid artery on either side of the neck. This location is unrelated to the pedal pulse, which is specifically assessed at the foot.

D. Top of the foot: The pedal pulse is located on the top of the foot, near the area where the foot meets the ankle. This pulse is typically checked to assess circulation to the lower extremities and is important for evaluating peripheral vascular health.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient that has limited mobility and spends majority of their day in bed or a chair. The nurse recognizes that the patient would be at risk for which of the following? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

What location would the nurse assess for a pedal pulse?

Correct Answer is D

Explanation

A nurse is preparing to administer ceftriaxone 300 mg IM into the right vastus lateralis. Which of the following actions should the nurse take to locate the site of injection?

A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?

The nurse awakens a client while the client is experiencing rapid eye movement sleep. What statement made by the client indicates they were awakened during REM sleep?

A patient has had diarrhea for several days. What assessment will the nurse make to identify risks from the diarrhea?

The nurse is educating a client with hypokalemia on why it is important to maintain potassium balance. Which does the nurse include in the teaching?

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of nursing process is the nurse engaging in?

A nurse is preparing to administer ceftriaxone 200 mg IM. How many mL should the nurse administer? (TYPE NUMBERS ONLY. Round to the nearest hundredth. Use a leading zero if necessary. Do not use trailing zeros.)

The nurse is completing a sterile dressing change on a client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?