The nurse is teaching a client to perform testicular self-examination (TSE). The nurse is aware that this procedure is an example of
a. primary prevention.
b. quaternary prevention.
c. secondary prevention.
d. tertiary prevention.
C
Secondary prevention (detecting and treating a problem early) includes screening activities, such as serum PSA levels in men over age 50 and TSE.
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A sputum study has been ordered for a patient who has developed coarse chest crackles and a fever. At what time should the nurse best collect the sample?
A) Immediately after a meal B) First thing in the morning C) At bedtime D) After a period of exercise
The RN is documenting the patient's complaint of pain rated a 6 on a scale of 0 to 10 . Which of the following would be the most appropriate chart entry, if made by the nurse?
a. Pt. complaining of pain. MD notified. b. Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting." Pt. grimacing, voice elevated. MD notified. c. Pt. complaining of pain rated at 6 on a scale of 0-10 . Appears to be in pain. MD notified. d. Pt. complaining of pain rated 6 . Wants more pain medication; appears to be drug-seeking. MD notified.
A nurse is assessing a rape survivor for post-traumatic stress disorder. The nurse asks the woman, "Do you feel as though you are reliving the trauma?" The nurse is assessing for which of the following?
A) Physical symptoms B) Intrusive thoughts C) Avoidance D) Hyperarousal
A nurse is assessing a child with kwashiorkor disease. Which assessment findings should the nurse expect?
a. Thin wasted extremities with a prominent abdomen b. Constipation c. Elevated hemoglobin d. High levels of protein