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 A

Explanation

A: This could be a sign of preeclampsia, a serious condition that requires immediate medical attention due to its potential to cause high blood pressure, proteinuria, and seizures, affecting both the mother and fetus.
B: Urinary frequency is common in early pregnancy due to hormonal changes and pressure on the bladder from the growing uterus; it's not typically a concern unless accompanied by pain or other symptoms.

C: Faintness upon rising can be related to changes in blood pressure or blood volume during pregnancy, but it's not specific to the second trimester and is often transient.This can often be managed with lifestyle modifications such as rising slowly, staying hydrated, and avoiding prolonged standing.
D: Bleeding gums are also a common symptom due to hormonal changes increasing blood flow to the gums, and while it should be monitored, it is not typically a cause for alarm unless accompanied by other symptoms.

A. "I should assess the client's skin integrity every 8 hours while in mechanical restraints." B. "I should visually monitor the client continuously when in mechanical restraints." C. "I should ask the provider to write a prescription for mechanical restraints as needed." D. "I should expect the provider to evaluate the client within 4 hours of restraint application."

Correct Answer is B

Explanation

A. Skin integrity should be assessed more frequently, generally every 2 hours.

B. Continuous visual monitoring is required to ensure the safety and well-being of a client who is in mechanical restraints, to respond promptly to any distress or complications.
C. Restraints should be a last resort and not prescribed as needed.

D. The provider should evaluate the client sooner, typically within 1 hour of applying restraints.

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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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Correct Answer is B

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