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.

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

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

Answer and Explanation

The Correct Answer is C

A.   This is a primary prevention strategy aimed at reducing the risk of developing Parkinson's disease.
B.   This is a secondary prevention strategy aimed at detecting Parkinson's disease in its early stages.
C.   Tertiary prevention aims to reduce the impact of a disease or injury that has already occurred. In Parkinson's disease, daily exercise classes can help improve mobility and functionality, thus reducing the impact of the disease.
D.   This is also a secondary prevention strategy aimed at early detection of Parkinson's disease.

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Correct Answer is B

Explanation

A. This amount of residual is generally considered safe; guidelines often cite higher residuals (e.g., >100 mL) as concerning.
B. Clients with a history of gastroesophageal reflux disease (GERD) are at increased risk for aspiration, particularly when lying flat, because the lower esophageal sphincter may not function properly, allowing stomach contents to move back into the esophagus.
C. While high-osmolarity formulas can contribute to diarrhea, they are not directly linked to an increased risk of aspiration.
D. Sitting in a high-Fowler’s position (semi-upright) during feedings is actually recommended to reduce the risk of aspiration.

A. Acetaminophen B. Ibuprofen C. Aspirin D. Ketorolac

Correct Answer is A

Explanation

A. Acetaminophen is a suitable option for pain relief in clients with a history of peptic ulcer because it does not typically irritate the gastric mucosa or increase the risk of gastrointestinal bleeding.
B. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastric ulceration and bleeding, especially in clients with a history of peptic ulcer.
C. Aspirin is also an NSAID and can increase the risk of gastric ulceration and bleeding, particularly in individuals with a history of peptic ulcer.
D. Ketorolac is an NSAID with a high risk of gastrointestinal side effects, including peptic ulceration and bleeding, and should be avoided in clients with a history of peptic ulcer.

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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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