A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Educate clients who are at risk for Parkinson's disease about maintaining a low-cholesterol diet.

Provide screenings for community members to identify early manifestations of Parkinson's disease.

Educate clients about common techniques used to diagnose Parkinson's disease.

Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease.

Answer and Explanation

The Correct Answer is D

A) Educating clients about maintaining a low-cholesterol diet is a form of primary prevention aimed at reducing risk factors for chronic diseases, but it does not directly address individuals already diagnosed with Parkinson's disease. This intervention focuses more on general health rather than managing an existing condition.

B) Providing screenings for early manifestations of Parkinson's disease represents secondary prevention, as it aims to identify the disease at an early stage to allow for timely intervention. However, this option does not apply to clients who already have Parkinson's disease, thus it is not a tertiary prevention strategy.

C) Educating clients about techniques used to diagnose Parkinson's disease is informative but primarily falls under secondary prevention. It pertains to awareness rather than actively managing the condition in those already diagnosed.

D) Providing daily exercise classes to improve ambulation for clients who have Parkinson's disease is a tertiary prevention strategy. This intervention focuses on rehabilitation and improving the quality of life for individuals already diagnosed with the disease, aiming to manage symptoms and prevent further complications associated with Parkinson's disease.

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Correct Answer is D

Explanation

A. Fasting blood glucose 100 mg/dL: This level is within the normal range and does not contraindicate the use of clozapine. Monitoring blood glucose is important due to the risk of metabolic syndrome, but a normal level is not a concern.

B. Hgb 14 g/dL: Hemoglobin levels in this range are normal and indicate adequate oxygen-carrying capacity. This finding does not contraindicate the use of clozapine.

C. Heart rate 58/min: A heart rate of 58 beats per minute is considered bradycardic but does not directly contraindicate the use of clozapine. Monitoring cardiovascular health is important, but this alone is not a reason to withhold the medication.

D. WBC count 2,900/mm³: This finding is significant because clozapine can cause agranulocytosis, a potentially life-threatening decrease in white blood cells. A WBC count below 3,000/mm³ is a contraindication for clozapine administration, as it increases the risk of infection and other complications. Therefore, this finding indicates that clozapine should not be administered.

A. Place the blood bag in a biohazard bag before discarding. B. Administer epinephrine subcutaneously. C. Document the reaction in the medical record. D. Infuse 500 ml. lactated Ringer's IV.

Correct Answer is C

Explanation

A. Place the blood bag in a biohazard bag before discarding: While proper disposal of blood products is important, the immediate priority after stopping the transfusion is to ensure the patient's safety and document the reaction. The blood bag should be sent for analysis, but this action does not address the immediate next steps for patient care.

B. Administer epinephrine subcutaneously: This is not the first action unless the client is experiencing an anaphylactic reaction, which is not indicated in this scenario. The reaction described is more consistent with a febrile non-hemolytic transfusion reaction.

C. Document the reaction in the medical record: This is the most appropriate action following the cessation of the transfusion. Accurate documentation of the reaction ensures that all healthcare providers are informed of the client’s status and the incident, which is critical for ongoing care and safety.

D. Infuse 500 ml. lactated Ringer's IV: While providing IV fluids may be necessary to maintain venous access or manage symptoms, the immediate action after stopping the transfusion should focus on documenting the reaction and notifying the healthcare provider, as appropriate interventions can then be determined.

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A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

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