As a home health care nurse, you are visiting a 70-year-old client who has just returned home from the hospital after being treated for coronary artery disease
The medical nutrition therapy or diet therapy developed for him by the hospital dietitian is a. primary treatment.
b. primary prevention.
c. secondary prevention.
d. tertiary prevention.
D
This is an example of tertiary prevention to minimize complications and help restore health after heart disease has developed. Primary prevention would occur before the disease developed, and secondary prevention would involve early detection to minimize the effects of the disease. Pri-mary treatment is not a recognized term.
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A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?
a. Hands are washed before and after glov-ing. b. After gloves are put on, they do not need to be changed until care is finished. c. Needles and sharps should be placed in puncture-resistant containers on the medi-cine cart out of the room. d. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."
A 55-year-old male is scheduled for radical prostatectomy that morning. While the nurse is doing the preoperative preparation of the patient the nurse applies elastic compression stockings
The patient asks why these stockings are necessary. The nurse responds that the stockings reduce the risk of developing a DVT postoperatively. What surgical position places the patient at risk for the development of deep vein thrombosis? A) Fowler's position B) Prone position C) Supine position D) Lithotomy position
The nurse is instructing a client with obstructive pulmonary disease in pursed-lip breathing. This type of breathing will provide which of the following for the client?
1. It encourages the client to take slow, deep breaths instead of rapid, shallow breaths. 2. It delivers a volume of air under pressure. 3. It prevents collapse of the smaller airways. 4. It encourages deep breathing.
A 32-year-old who was admitted to the emergency department with severe abdominal pain is diagnosed with an ectopic pregnancy. The patient begins to cry and asks the nurse to leave her alone to grieve. Which action should the nurse take next?
a. Stay with the patient and encourage her to discuss her feelings. b. Explain the reason for taking vital signs every 15 to 30 minutes. c. Close the door to the patient's room and minimize disturbances. d. Provide teaching about options for termination of the pregnancy.