The nurse provides footwear and gloves to leprosy clients to prevent trauma to their insensitive and deformed hands and feet. This is an example of
1. Primary level of prevention
2. Secondary level of prevention
3. Tertiary level of prevention
4. Primary health care prevention
ANS: 3
Tertiary prevention reduces complications through treatment and rehabilitation.
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A patient arrives in the emergency department with a bullet wound to the left frontal lobe. The patient is comatose on arrival. What is the nursing care priority at this time?
a. Evaluate neurological status. b. Maintain an open airway. c. Maintain body temperature. d. Evaluate fluid balance.
The nurse is assessing a homeless patient and notes ascites. Which question is most appropriate for the nurse to ask this patient?
1) "Do you have a history of kidney problems?" 2) "Is there any chance you are pregnant?" 3) "How much alcohol do you consume on a daily basis?" 4) "Do you have hypertension?"
Which information indicates a nurse has a good understanding of a goal?
a. It is a statement describing the patient's accomplishments without a time restriction. b. It is a realistic statement predicting any negative responses to treatments. c. It is a broad statement describing a desired change in a patient's behavior. d. It is a measurable change in a patient's physical state.
Identify an accurate statement about opioid analgesics.
A. The use of opioids for postoperative pain can increase the risk of bleeding. B. The majority of the opioid analgesics are used to induce preoperative sedation. C. Opioid analgesics can only relieve mild to moderate pain. D. It is held that opioid analgesics can relieve virtually any type of pain.