Which action should the school nurse implement to provide secondary prevention for school- aged children?

Collaborate with a science teacher to prepare a health lesson.

Initiate a hearing and vision screening program for first graders.

Prepare a presentation on how to prevent the spread of lice.

Observe a person with type 1 diabetes mellitus self-administer a dose of insulin.

Answer and Explanation

The Correct Answer is B

A. Collaborating with a science teacher to prepare a health lesson may be beneficial for health education but does not directly address secondary prevention. Secondary prevention involves early detection and intervention to prevent the progression of disease or injury.

B. Initiating a hearing and vision screening program for first graders is an example of secondary prevention. This action aims to detect any hearing or vision problems early, allowing for timely intervention and management to prevent further complications or difficulties in learning and
development.

C. Preparing a presentation on how to prevent the spread of lice may be important for promoting hygiene and preventing infestations, but it falls more under the category of health education and primary prevention rather than secondary prevention.

D. Observing a person with type 1 diabetes mellitus self-administer a dose of insulin may be related to health education or management of a chronic condition, but it does not directly address secondary prevention for school-aged children.

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Correct Answer is C

Explanation

A. BRCA1 and BRCA2 provide protection of mature, functioning breast and ovarian cells. This is not accurate; BRCA1 and BRCA2 genes are involved in DNA repair, and mutations in these genes increase cancer risk.
B. The choice of treatment is best determined by the sensitivity of these genetic markers. While genetic markers can influence treatment decisions, this option does not directly address the role of BRCA1 and BRCA2 mutations in cancer risk.
C. Mutations in BRCA1 or BRCA2 identify a client's risk for cancerous cell development in breast tissue. This is correct. Mutations in these genes significantly increase the risk of developing breast and ovarian cancer.
D. The prognosis of breast cancer is most successful when these markers are inherited mutations.
This statement is incorrect. The presence of BRCA1 or BRCA2 mutations influences risk, not necessarily prognosis or treatment success.

A. Neutralizes hydrochloric acid (HCI) in the stomach. B. Inhibits action of acetylcholine by blocking parasympathetic nerve endings. C. Destroys microorganisms causing stomach inflammation. D. Decreases the amount of HCI secretion by the parietal cells in the stomach.

Correct Answer is D

Explanation

A. Histamine 2-receptor antagonists do not directly neutralize hydrochloric acid (HCl) in the stomach. Instead, they reduce acid secretion by blocking the histamine 2 receptors on parietal cells, thereby decreasing the production of gastric acid.

B. This describes the mechanism of action of anticholinergic medications, not histamine 2- receptor antagonists.

C. Histamine 2-receptor antagonists do not have antimicrobial properties and are not used to destroy microorganisms causing stomach inflammation. They primarily target acid secretion.

D. This is the correct purpose of histamine 2-receptor antagonists. They work by blocking the action of histamine on parietal cells in the stomach, leading to a reduction in the secretion of hydrochloric acid. This helps in the management of peptic ulcer disease and other conditions related to excessive gastric acid secretion.

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Which action should the school nurse implement to provide secondary prevention for school- aged children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a client with breast cancer for BRCA1 and BRCA2 genetic testing. Which pathophysiological process should the nurse use to support client teaching?

Correct Answer is C

Explanation

The nurse is preparing to administer a histamine 2-receptor antagonist to a client with peptic ulcer disease. What is the primary purpose of this drug classification?

Correct Answer is D

Explanation

The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem?

The nurse is providing discharge instructions to a client with gout in the left great toe who received a prescription for prednisone 30 mg by mouth to be administered each day. Which symptom should the nurse explain is most important for the client to report to the healthcare provider?

A client with pancreatic cancer develops ascites, and 2 liters of fluid are removed via paracentesis. Which schedule should the nurse implement to assess the client's blood pressure after this procedure?

The nurse observes a client with amyotrophic lateral sclerosis (ALS) is excessively drooling and prepares to suction the client's oral cavity. Which action should the nurse include?

When entering a client's room to administer an 0900 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which action should the nurse implement?

While the nurse is conducting an admission assessment of a female client with bipolar disorder, the client suddenly begins to take off her clothes and throw them about the room. Which action should the nurse take first?