The nurse is teaching primary prevention of cognitive impairment at a community health fair. Which topics would be included in the presentation? (Select all that apply.)
a. Do not use substances such as cannabis and alcohol.
b. Wear helmets when riding bicycles and motorcycles.
c. Complete a Mini Mental Status Exam (MMSE) yearly.
d. Correct acid-base imbalances related to underlying disease processes.
e. Wear a seat belt whenever riding in a motorized vehicle.
f. Complete a Confusion Assessment Method (CAM) scale yearly.
ANS: A, B, E
Primary prevention attempts to prevent injury. Not using chemical substances, wearing a helmet, and wearing a seat belt are all measures to prevent injury to the brain, which protects cognitive function. An MMSE and CAM are secondary prevention, or screening tools performed once symptoms are present. Correcting acid-base imbalances from underlying disease processes is a tertiary prevention level, aimed at minimizing complications for disease already present.
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a. confirm an order for a digoxin level before cardioversion. b. monitor blood pressure more frequently. c. notify the physician regarding the potassium level. d. proceed with preparation for cardioversion.
Which nursing observation will indicate the patient is at risk for pressure ulcer formation?
a. The patient has fecal incontinence. b. The patient ate two thirds of breakfast. c. The patient has a raised red rash on the right shin. d. The patient's capillary refill is less than 2 seconds.
What is 25% of 75? ____________________
Fill in the blank(s) with correct word