A nurse is implementing a primary prevention strategy. Which of the following activities would the nurse most likely implement?
a. Urine screening for pesticide exposure
b. Tuberculosis (TB) skin testing
c. Treatment of lead poisoning
d. Reduction of pesticide exposure
ANS: D
Reduction of pesticide exposure is an example of primary prevention. Urine screening and TB skin testing are secondary prevention, and treatment of lead poisoning is tertiary prevention.
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An 81-year-old female client of a long-term care facility has a history of congestive heart failure
The nurse practitioner caring for the client has positioned her sitting up at an angle in bed and is observing her jugular venous distention. Why is jugular venous distention a useful indicator for the assessment of the client's condition? A) Increased cardiac demand causes engorgement of systemic blood vessels, of which the jugular vein is one of the largest. B) Blood backs up into the jugular vein because there are no valves at the point of entry into the heart. C) Peripheral dilation is associated with decreased stroke volume and ejection fraction. D) Heart valves are not capable of preventing backflow in cases of atrial congestion.
Which intervention may be used to decrease the intracranial pressure (ICP) of a client who has sustained a head injury?
a. administration of antibiotics b. administration of corticosteroids and osmotic diuretics c. passive range of motion every 3 to 4 hours d. antacids and histamine receptor antagonists
Wellness nursing diagnoses describe which of the following?
1. individual, family, or community potentials for enhancing a state of wellness 2. disease risks and actions taken to reduce those risks 3. human responses to levels of wellness in an individual, family, or community that have a potential for enhancement to a higher state 4. human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community
A nurse is required to transfer an immobile client from the bed to the chair using a transfer board. What should the nurse do when transferring this client to the chair?
A) Position the chair at a 45-degree angle to the bed. B) Ask the client to hold the arms of the chair for support. C) Move the client into the chair by pulling the client's waist. D) Raise the bed to a level higher than the chair.