A nurse is providing tertiary prevention. Which of the following interventions should be includ-ed?

a. Education
b. Prevention
c. Referral
d. Detection


ANS: C
Tertiary prevention refers to interventions aimed at treatment and rehabilitation. Nurses should know about available community resources for abuse victims and perpetrators. Education and prevention primarily deal with primary prevention strategies. Detection is part of secondary pre-vention.

Nursing

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A client is seen in the emergency department in shock. X-rays reveal protrusion of a portion of the fetus through the maternal abdomen. The nurse hypothesizes that the client has experienced which of the following?

a. Placenta previa c. Abruptio placentae b. Uterine rupture d. Umbilical cord pro-lapse

Nursing

Which of the following instructions are true regarding prevention of lightning injuries? (Select all that apply.)

A. Stay off the telephone. B. Seek shelter inside a building or vehicle. C. Seek shelter under a tall tree. D. Leave the water immediately, including a bathtub. E. Turn off near-by computers.

Nursing

A client with testicular carcinoma is prescribed to begin combination chemotherapy. The nurse anticipates the use of which preferred group for this type of cancer?

a. bleomycin, etoposide. platinol b. prednisone, vincristine, cyclophosphamide c. dactinomycin, methotrexate d. cytarabine, daunorubicin, idarubicin

Nursing

A patient asks the healthcare professional why tissue damage occurs in acute rejection after organ transplantation. What response by the professional is best?

a. Th1 cells release cytokines that activate infiltrating macrophages, and cytotoxic T cells directly attack the endothelial cells of the transplanted tissue. b. Circulating immune complexes are deposited in the endothelial cells of transplanted tissue, where the complement cascade lyses tissue. c. Receptors on natural killer cells recognize antigens on the cell surface of transplanted tissue, which releases lysosomal enzymes that destroy tissue. d. Antibodies coat the surface of transplanted tissue to which mast cells bind and liberate preformed chemical mediators that destroy tissue.

Nursing