A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing?

Insulin injections daily

Peritoneal dialysis therapy

Oral hypoglycemic medications

Fluid restrictions

Answer and Explanation

The Correct Answer is C

Secondary prevention aims to detect and treat a disease in its early stages to prevent complications and progression. In the case of a client with new onset diabetes mellitus experiencing uncontrolled blood glucose levels, secondary prevention actions might involve interventions to manage blood glucose levels and prevent complications.
A. The decision to initiate insulin therapy as a secondary prevention measure would depend on various factors, including the severity of the client's condition, the effectiveness of other treatments, and the individualized treatment plan developed by the healthcare provider.
B. Peritoneal dialysis is a treatment for end-stage kidney disease (ESKD) when the kidneys are no longer able to function effectively. Uncontrolled diabetes can lead to kidney damage over time
Fluid restrictions are more commonly prescribed for conditions such as heart failure or kidney disease, where fluid overload can exacerbate symptoms and lead to complications.

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Correct Answer is C

Explanation

Social justice in nursing involves advocating for fairness, equality, and the rights of all individuals, including vulnerable populations such as older adults who may be at risk of abuse. Reporting suspected abuse is an important step in protecting the rights and well-being of older adults and ensuring that they receive the support and intervention they need.

A, B, and D may also be important principles in nursing practice, but in this scenario, reporting concerns of suspected abuse aligns most closely with the principle of social justice

A. Caregiver role strain B. Prior history of maltreatment or trauma C. Lack of financial resources D. Few recreational activities for young people

Correct Answer is D

Explanation

Community-level risk factors for child maltreatment are those that are associated with the broader social and environmental context in which families reside.

In communities where, recreational activities for young people are limited, there may be fewer outlets for positive social interactions and constructive use of time, which can potentially increase the risk of negative outcomes

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A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?

Correct Answer is C

Explanation

A public health nurse is screening families for risks of child maltreatment at a local community clinic. Which of the following should the nurse consider a community-level risk factor for child maltreatment?

Correct Answer is D

Explanation

A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

A nurse is providing diet education to children who are attending a health fair. This is an example of which of the following levels of disease prevention?

A community health nurse is educating a client about the implications of a false negative result of a screening test. Which of the following statements by the client indicates an understanding of a false negative screening?

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A nurse is collaborating with community agencies. Which of the following strategies helps to ensure collaborative relationships? (Select All that Apply.)

A community health nurse plans a proposed community-wide intervention to increase physical activity. Which of the following ethical principles does the nurse demonstrate by ensuring that the benefits of the program substantially outweigh any potential harms?

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