Which of the following services implemented by nurses would represent primary prevention?
a. A nurse-managed hospital respiratory unit for patients with chronic obstructive pulmonary disease (COPD) and emphysema
b. A quit-smoking-now clinic for adults who want to give up the habit
c. A "don't smoke" campaign for elementary school students
d. A "stay beautiful" campaign for high school female smokers that stresses that smokers have wrinkles about a decade earlier than their chronologic peers
ANS: C
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Prior to administering IV chemotherapy, which action by the nurse is most important?
A. Ensure the IV has a good blood return. B. Provide diversionary activities. C. Take and record a set of vital signs. D. Weigh the child.
The nurse is caring for a patient in the postoperative period following an abdominal hysterectomy
The patient states, "I don't want to use my pain meds because they'll make me dependent and I won't get better as fast." Which response is most important when explaining the use of pain medication? A) "You will need the pain medication for at least 1 week to help in your recovery. What do you mean you feel you won't get better faster?" B) "Pain medication will help to decrease your pain and increase your ability to breath. Dependency is a risk with pain medication, but you are young and won't have any problems." C) "Pain medication can be given by mouth to prevent the risk of dependency that you are worried about. The pain medication has not been shown to affect your risk of a slowed recovery." D) "You will move more easily and heal more quickly with decreased pain. Dependence only occurs when it is administered for an extended period of time."
A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer's disease or multiple infarcts
Which diagnostic procedure should the nurse expect to prepare the patient for first? a. PET b. Skull x-rays c. Computed tomography (CT) scan d. Single-photon emission computed tomography (SPECT)
A patient with breast cancer asks why her hair is falling out while receiving chemotherapy when the cancer is in her breast. What is the nurse's best response?
a. "Breast cells and hair cells are similar. Any drug that affects one can be expected to affect the other." b. "The chemotherapy is interfering with your nutritional status. Eating more protein will help stop the hair loss." c. "It is possible that some cancer cells have escaped from your breast. Chemothe-rapy will kill cancer cells wherever they are." d. "Chemotherapy is delivered to all tissues and exerts the same damaging effects on some normal cells as well as on cancer cells."