A nurse is implementing an intervention at both the primary and tertiary levels of prevention. Which of the following best describes the nursing intervention?
a. Providing emergency shelter housing
b. Offering physical and mental health ser-vices
c. Developing a targeted case management program
d. Establishing a needle exchange program
ANS: D
Establishing a needle exchange program could be considered both primary (preventing a problem before it occurs by helping clients avoid disease transmission) and tertiary (working with a popu-lation who already has a "problem" of drug abuse). Providing emergency shelter housing and of-fering physical and mental health services are both secondary and tertiary prevention interven-tions. Developing a targeted case management program is secondary prevention.
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A patient with angina is prescribed propranolol (Inderal). Following absorption of the drug, the nurse should expect to assess
A) relief of fatigue. B) increased oxygen saturation levels. C) mild to moderate drowsiness. D) decreased heart rate.
A disoriented and agitated patient comes to the emergency department and admits using methamphetamine. Vital signs are blood pressure 162/98, heart rate 142 and irregular, and respirations 32. Which action by the nurse is most important?
a. Reorient the patient at frequent intervals. b. Monitor the patient's electrocardiogram (ECG) and vital signs. c. Keep the patient in a quiet and darkened room. d. Obtain a health history including prior drug use.
Using a whiteboard to organize nursing assignments per shift or to provide patients information about their practitioner or diagnosis is a violation of which of the following?
a. Civil law c. HIPAA b. Tort law d. OSHA
If a patient is to receive a cold application for a sprain, he or she should have:
a. a prolonged application time. b. the body part carefully aligned. c. a colder temperature applied. d. extra packing under the cooling device.