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 B

Explanation

A) "I can use natural-skin condoms to prevent sexually transmitted infections.": This statement is incorrect. Natural-skin condoms (made from lambskin) are effective for pregnancy prevention but do not provide protection against sexually transmitted infections (STIs). For STI prevention, latex or polyurethane condoms should be used.

B) "I can store the condoms in the drawer of my nightstand.": This statement demonstrates an understanding of proper condom storage. Storing condoms in a cool, dry place, such as a drawer, helps prevent damage from heat and friction, ensuring their effectiveness when used.

C) "I can use petroleum jelly as a lubricant with the condom.": This statement is incorrect because petroleum jelly can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants are recommended for use with latex condoms to maintain their integrity.

D) "I can re-use the condom one time after initial use.": This statement is incorrect. Condoms are designed for single use only and should not be re-used. Re-using a condom increases the risk of breakage and reduces effectiveness in preventing pregnancy and STIs.

A. Check the client's vital signs from the previous shift prior to the initiation of the transfusion. B. Administer the blood via a 21-gauge IV needle. C. Set the IV infusion pump to administer the blood over 6 hr. D. Flush the blood administration tubing with 0.9% sodium chloride prior to the transfusion.

Correct Answer is D

Explanation

A) Check the client’s vital signs from the previous shift prior to the initiation of the transfusion: Checking the client’s vital signs from the previous shift is not sufficient. The nurse should obtain a set of baseline vital signs immediately before starting the transfusion to monitor for any changes or reactions during the procedure.

B) Administer the blood via a 21-gauge IV needle: A 21-gauge IV needle is too small for administering packed RBCs. A larger gauge needle, such as an 18- or 20-gauge, is recommended to ensure the blood flows smoothly and to reduce the risk of hemolysis.

C) Set the IV infusion pump to administer the blood over 6 hr: Administering the blood over 6 hours is not appropriate. Packed RBCs should be transfused within 4 hours to reduce the risk of bacterial contamination and ensure the blood remains viable.

D) Flush the blood administration tubing with 0.9% sodium chloride prior to the transfusion: Flushing the blood administration tubing with 0.9% sodium chloride is the correct action. This helps to clear the line of any residual substances and ensures that the blood product is delivered effectively and safely to the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for an adult client who has chronic anemia and is scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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