Which activity is an example of the nursing intervention at the primary level of prevention?
1. Notifying a physician of change in the client's condition
2. Enlisting a social worker to assist with a specific client problem
3. Screening individuals for depression at the local mall
4. Teaching a client to administer her own medication
ANS: 3
Screening is a means of preventing problems and promoting health. Options 1 and 2 are second-ary preventions. Option 4 is tertiary prevention.
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The nurse is caring for a 68-year-old patient the nurse suspects has digoxin toxicity. In addition to physical assessment, the nurse should collect what assessment datum?
A) Skin turgor B) Potassium level C) White blood cell count D) Peripheral pulses
A registered nurse who works in a women's hospital assumes care for the same patients from the time they are admitted to the time they are discharged home. The nurse has associate nurses helping with the care. Which type of nursing care delivery model is the nurse using?
a. Team nursing b. Primary care nursing c. Case management d. Total care
The nurse is caring for an older adult client who will be discharged after being hospitalized for a total hip replacement. Which statement indicates that arrangements may have to be made to have the client's medications supervised at home?
a. "I will take my Coumadin pill every day just before the evening news." b. "My wife takes iron too, so we will take our pills together every morning." c. "I prepare all my pills for the week and will place them in a labeled medi-set." d. "If my legs get swollen, I will take an ex-tra Coumadin pill that day."
While palpating the nail bed of an African American client, the nurse notes that the client's nails have linear bands along the nail edge. This finding:
1. Is found in dark-skinned individuals. 2. Indicates a fungal infection of the nail bed. 3. Indicates a nutritional deficiency. 4. Indicates the client is cyanotic.