Which of the following actions represents the use of secondary prevention to reduce environmental health risks?

Choice A reason: HPV causes warts with a cauliflower-like, elevated growth due to viral-induced epidermal hyperplasia. Types 6 and 11, for instance, trigger keratinocyte proliferation, forming rough, clustered lesions, a hallmark distinguishing them from other skin infections biologically and clinically in appearance consistently.

Choice B reason: Vesicles ulcerating in 1-4 days describe herpes simplex, not HPV. Herpes viruses cause fluid-filled blisters that burst and crust rapidly due to viral cytopathic effects, differing from HPV’s chronic, proliferative growth pattern without ulceration typically seen in lesions.

Choice C reason: Thin-walled pustules with honey-colored crusts typify impetigo, a bacterial infection from Staphylococcus or Streptococcus. Unlike HPV’s viral, warty growths, these result from pus-filled lesions rupturing, lacking the proliferative, cauliflower-like structure HPV induces in skin tissue distinctly over time.

Choice D reason: Solitary growths with elevated borders and central depression suggest basal cell carcinoma, not HPV. This cancer arises from UV-damaged basal cells, forming a pearly nodule, contrasting HPV’s viral, multi-clustered warts without malignant transformation or central depression typically observed clinically.

Choice A reason: 24-hour recall is standard for precise eating habit assessment. This fits nursing nutritional standards. It’s universally applied, distinctly effective for accuracy.

Choice B reason: Food source is secondary; 24-hour intake is primary data. This errors per nursing assessment focus. It’s universally distinct, less specific.

Choice C reason: 48 hours is less standard than 24 for dietary recall. This misaligns with nursing precision. It’s universally distinct, overly broad.

Choice D reason: 7 days is too long for accurate recall; 24 hours suffices. This errors per nutritional standards. It’s universally distinct, impractical.