What level of intervention is most appropriate for a community experiencing chronic dysfunction as a result of losing a major source of employment?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
ANS: C
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A client is brought to the emergency department after a car crash. The client has a large piece of glass in the left eye. What action by the nurse takes priority?
a. Administer a tetanus booster shot. b. Ensure the client has a patent airway. c. Prepare to irrigate the client's eye. d. Turn the client on the unaffected side.
When assessing vital signs on a 40-year-old male, the nurse identifies a pulse rate of 120. What is this pulse interpreted as by the nurse?
a. Normal b. Bradycardic c. Arrhythmic d. Tachycardic
The nurse in a long-term care facility notes signs of depression in a resident who is ordinarily positive. What newly prescribed medication could contribute to the depression?
a. Erythropoietin b. Corticosteroids c. Calcium replacement d. Broad-spectrum antibiotics
The nurse is caring for an alcoholic admitted to the hospital who is in unmanaged withdrawal. Which of the following is a nursing consideration for this client?
A) Remember that acute detoxification is usually completed in 24 hours. B) Watch for acute detoxification beginning within 36 hours of last ingestion. C) Follow suicide precautions because suicide risk increases during detoxification. D) Keep the client NPO for the first 48 hours to avoid refeeding syndrome.