The nurse works with a group of abused women to enhance their levels of self-esteem. Of what level of prevention is this example?
a. Primary level of prevention
b. Secondary level of prevention
c. Tertiary level of prevention
d. Health promotion
ANS: C
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The nurse working in an immunization clinic administers a vaccine to the client. While the nurse is documenting the vaccine, the client says, "All of a sudden, I feel like my lips are tingling." What is the nurse's priority of care?
1. Monitor vital signs. 2. Assess the client's airway. 3. Provide client teaching. 4. Administer diphenhydramine by standing order.
A nurse is preparing a patient who will stop taking lorazepam [Ativan] for anxiety and begin taking buspirone [Buspar]. Which statement by the patient indicates a need for further teaching?
a. "I can drink alcohol when taking Buspar, but not grapefruit juice." b. "I may need to use a sedative medication if I experience insomnia." c. "I may not feel the effects of Buspar for a few weeks." d. "I should stop taking the Ativan when I start taking the Buspar."
Which question is appropriate for the nurse to ask when assessing fire/burn prevention within the patient's home?
1) Does the patient use assistive devices correctly? 2) Is there a smoke detector in the home? 3) Are there working locks on the windows and doors? 4) Is the patient able to make an emergency call?
When teaching a group of older adults about health and nutrition, what recommendation about hand washing does a nurse make? Select all that apply.
A) "Wash your hands after using the bathroom and after sneezing." B) "Wash your hands between touching one person and then another." C) "Wash your hands before and after touching surfaces a sick person touched." D) "Remember to wash hands with antibacterial gel first then soap and water." E) "Please remember to wash your hands before and after meal preparation."