A 55-year-old man suffered a myocardial infarction (heart attack) 3 months ago. During his hospitalization, he had stents inserted in two sites in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives
What type of care is he receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
C
Primary prevention activities are designed to prevent or slow the onset of disease. Activities such as eating healthy foods, exercising, wearing sunscreen, obeying seat-belt laws, and getting immunizations are examples of primary level interventions. Secondary prevention activities detect illness so that it can be treated in the early stages. Tertiary prevention focuses on stopping the disease from progressing and returning the individual to the pre-illness phase. The patient has an established disease and is receiving care to stop the disease from progressing.
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The neurological patient's intracranial pressure (ICP) is increasing. A treatment to try and normalize ICP and maintain adequate cerebral perfusion is
A) to drain cerebral spinal fluid (CSF). B) add PEEP to ventilatory settings. C) to administer a loop diuretic. D) to lower the head of the bed to 10 degrees.
Workplace issues currently under discussion by the American Nurses Association do not include which of the following?
A. Mandatory overtime B. Rotating shifts C. Staff development opportunities D. Staffing ratios
The nurse knows that which action is most important prior to implementing care for a patient with anorexia nervosa?
1. Determining patient willingness 2. Developing a therapeutic relationship 3. Educating the patient about the disorder 4. Establishing specific, realistic, and measurable goals
The informatics nurse suggests a clinical information system with computerized provider order entry (CPOE). Which is an advantage of having a CPOE?
A) Can use electronic entry or hand-written orders B) Each department is notified simultaneously as orders are processed through the system C) Eliminates standing orders D) Reduces the need to validate telephone orders