A nurse educator is presenting at a continuing education seminar for nurses. As part of his presentation, he is emphasizing the prevention of skin breakdown in immobile patients who have suffered from a stroke. The level of prevention being discussed by the nurse educator is:

Educational Prevention

Tertiary Prevention

Secondary Prevention

Primary Prevention

Answer and Explanation

The Correct Answer is B

Choice a reason:
Educational Prevention is not a recognized level of prevention in healthcare. While education is a key component in all levels of prevention, it is not a standalone category. Education is typically included in primary prevention as it involves informing the public about health practices to prevent the onset of disease.

Choice b reason:
Tertiary Prevention is the level of prevention that aims to manage and treat an existing disease to prevent further complications or deterioration. In the case of immobile stroke patients, tertiary prevention would involve measures to prevent skin breakdown and other complications associated with immobility and the stroke's long-term effects.

Choice c reason:
Secondary Prevention involves early detection and prompt intervention to prevent the progression of a disease. For stroke patients, secondary prevention might include monitoring for signs of skin breakdown so that early treatment can be initiated. However, the scenario described focuses on managing an existing condition rather than early detection.

Choice d reason:
Primary Prevention aims to prevent the disease or injury before it occurs. This would involve strategies to prevent strokes in the first place, such as controlling high blood pressure or encouraging healthy lifestyle changes. It does not directly relate to the prevention of skin breakdown in patients who have already had a stroke.

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Correct Answer is B

Explanation

Choice A reason:

Palpating in front of the ear would assess the preauricular lymph nodes, not the submental lymph nodes. The preauricular nodes are located just in front of the ears and are typically examined when there is an infection or inflammation in the eyes, ears, or scalp.

Choice B reason:

The submental lymph nodes are located in the midline, just under the chin, behind the bony prominence of the mandible. This is the correct area for palpation when assessing the submental lymph nodes. These nodes drain the lower lip, the floor of the mouth, the tip of the tongue, and the incisors, and they can become enlarged due to infections or malignancies in these areas.

Choice C reason:

Palpating superficial to the sternomastoid would assess the cervical lymph nodes, specifically the anterior cervical nodes, which are not the submental lymph nodes. The sternomastoid muscle is a landmark for several lymph node groups in the neck, but not for the submental group.

Choice D reason:

Palpating at the angle of the mandible would assess the submandibular lymph nodes, not the submental lymph nodes. The submandibular nodes are located beneath the jawline and can become enlarged due to infections or malignancies in the mouth, throat, and salivary glands.

A. Wear nonslip shoes in the house. B. Use of guns should be supervised by an adult. C. Always use seat belts. D. Avoid risky activities such as snowboarding.

Correct Answer is ["A","B","C","D"]

Explanation

Choice a reason:
Wearing nonslip shoes in the house is a preventive measure against falls, which are a leading cause of traumatic brain injuries (TBIs) in adolescents. Nonslip shoes provide better grip and stability, especially on potentially slippery surfaces like tiles or polished wood, reducing the risk of slips and falls that can lead to head injuries.

Choice b reason:
The supervised use of guns by an adult is critical in preventing accidental shootings, which can result in TBIs. Adolescents may lack the maturity and experience to handle firearms safely, and adult supervision ensures that proper safety protocols are followed, reducing the risk of accidental discharge and potential injury.

Choice c reason:
The use of seat belts is one of the most effective ways to prevent TBIs in the event of a vehicle accident. Seat belts restrain the body and prevent individuals from being thrown around inside or ejected from the vehicle, significantly reducing the likelihood of head trauma.
Choice d reason:
Avoiding risky activities such as snowboarding without proper safety equipment is essential in preventing sports-related TBIs. Snowboarding, like other high-speed sports, carries a risk of falls and collisions, which can cause head injuries. Wearing helmets and other protective gear, and engaging in these activities with caution, can mitigate this risk.

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A nurse educator is presenting at a continuing education seminar for nurses. As part of his presentation, he is emphasizing the prevention of skin breakdown in immobile patients who have suffered from a stroke. The level of prevention being discussed by the nurse educator is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client's submental lymph nodes. In which area of the client's head should the nurse palpate these lymph nodes?

Correct Answer is B

Explanation

The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is performing a respiratory physical examination on a healthy patient. When performing the percussion physical assessment technique, the lung percussion note should be:

A client reports experiencing chronic headaches after a recent upper respiratory tract infection. On physical examination, the nurse notes tenderness when palpating over the sinuses. Which condition is likely?

What eye function is the nurse preparing to assess when the client is asked to stand 20 feet from a specific chart that is mounted on the examination room wall?

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

The nurse is preparing to examine a client's mouth floor. To move the tongue to one side for this examination, which tool should the nurse use?

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply)

The nurse is preparing to percuss a client's anterior chest area. Which approach will the nurse use for this assessment?

While auscultating a client's 1st and 2nd intercostal spaces, close to the sternal body, the nurse would document these normal breath sounds as which of the following?