The practical nurse (PN) is participating in a health promotion program for a group of adults at a health fair about life style choices. Which information is most important for the PN to emphasize?
Perform monthly self examination of breasts and testes.
Eat a diet high in fruits, vegetables, and whole grains.
Completely stop the use of cigarette and tobacco products.
Avoid the midday sun and use sunscreen.
The Correct Answer is C
A. Perform monthly self-examination of breasts and testes: While self-examination can aid in early detection of cancer, it primarily addresses individual risk and does not prevent disease onset. It is important but secondary to interventions that reduce the risk of major illnesses.
B. Eat a diet high in fruits, vegetables, and whole grains: A healthy diet supports overall wellness. However, its impact on immediate morbidity and mortality is less pronounced than eliminating high-risk behaviors like tobacco use.
C. Completely stop the use of cigarette and tobacco products: Tobacco cessation is the most critical lifestyle modification because it significantly reduces the risk of multiple life-threatening conditions, including cardiovascular disease, cancer, and respiratory illnesses.
D. Avoid the midday sun and use sunscreen: Sun protection reduces the risk of skin cancer but is limited to specific populations and exposure patterns. While important, it is not as universally impactful on overall adult morbidity and mortality as stopping tobacco use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Conjunctival redness: Redness of the eyes is a local effect of eye drops and does not significantly affect vision or balance, so it does not increase fall risk.
B. Elevated blood pressure: While systemic absorption of some glaucoma medications can affect blood pressure, this is less common and less directly linked to immediate fall risk than visual changes.
C. Pupillary constriction: Miotic eye drops used for glaucoma cause pupillary constriction, which can impair night vision and depth perception. This visual disturbance increases the risk of falls, making it important for staff to monitor clients closely.
D. Increased heart rate: Certain glaucoma medications may affect heart rate, but this is typically mild. Visual changes, rather than cardiovascular effects, pose the greatest immediate fall risk.
Correct Answer is B
Explanation
A. Whatever the parents decide, the staff will be available to support the decision: While emotional support is important, this response does not address the parents’ lack of understanding regarding the medical implications of delaying surgery.
B. Ask the parents to explain what they understand about the child's diagnosis: Encouraging the parents to share their understanding helps the nurse assess knowledge gaps and misconceptions about hypospadias. This approach promotes effective teaching, allowing the nurse to clarify that hypospadias does not correct itself and that surgical repair is required.
C. Some children do outgrow this type of problem and waiting may be beneficial: Hypospadias does not resolve spontaneously. Delaying corrective surgery may lead to complications with urination, sexual function, and psychological distress later in life.
D. The child's prognosis will not develop complications if surgery is delayed: Postponing surgery can result in abnormal urinary stream direction, difficulty with future catheterization, and possible body image concerns, so timely correction is important.
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