A nurse uses a behavioral health risk survey and identifies the factors leading to obesity in the family. Which of the following levels of prevention best describes the nurse's action?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Assessment
ANS: B
Secondary prevention focuses on early detection and prompt treatment of disease, injury, or dis-ability. Primary prevention focuses on prevention of illness and injury before it occurs. Tertiary prevention focuses on treatment and rehabilitation. Assessment is not a level of prevention.
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The nurse suspects an older patient is having a grand mal seizure. What did the nurse observe in the patient?
1. Rhythmic jerking of the muscles 2. Rigid extremities lasting for several minutes 3. Brief loss of attention similar to daydreaming 4. Rigid extremities followed by rhythmic flexion
A patient fractured her right ulna 8 weeks ago and has just had her cast removed. The orthopedic surgeon prescribes isometric exercises for the right arm. Which of the following exercises comply with the surgeon's orders?
1) Place a foam ball in the right hand and squeeze; hold the squeeze position for 6 to 8 seconds, and repeat 5 to 10 times. 2) Grasping the right wrist with the left hand, move the right arm up, down, and side to side; hold each position for 6 to 8 seconds, and repeat 5 to 10 times. 3) Grasping the right wrist with the left hand, pull the right arm across the body; hold this position for 6 to 8 seconds, and repeat 5 to 10 times. 4) Press the right hand against a wall; hold this position for 6 to 8 seconds, and repeat 5 to 10 times.
For a victim of spousal abuse, a deterrent to leaving the abusive situation are the events that occur in which stage?
a. Tension building b. Honeymoon c. Processing d. Battering
The most frequent presenting signs of leukemia are related to bone marrow infiltration. The main symptoms are:
1. Anemia, infection, and bleeding. 2. Thrombocytopenia, headache, and abdominal pain. 3. Respiratory distress and pain. 4. Confusion and decreased peripheral vascular resistance.