A nurse is reinforcing health promotion education at a community health fair. Which of the following statements by attendees indicates understanding of the teaching?
"I do my testicular self-exam every 6 months without fail."
"The flu shot I received last year will last me for 2 years."
"I will examine my breasts a week after each menstrual period."
"I should get a hepatitis B vaccine on a yearly basis."
The Correct Answer is C
Choice A reason: Doing testicular self-exam every 6 months without fail is not an adequate frequency, as it can delay the detection of any changes or abnormalities in the testes that may indicate cancer or other conditions. Men should perform testicular self-exam monthly, preferably after a warm bath or shower.
Choice B reason: The flu shot received last year will not last for 2 years, as it only provides protection against specific strains of influenza virus that may change from year to year. People should get a flu shot annually, preferably before the flu season starts.
Choice C reason: Examining breasts a week after each menstrual period is an optimal time, as breasts are less likely to be swollen, tender, or lumpy due to hormonal fluctuations. Women should perform breast self-exam monthly, preferably at the same time each month.
Choice D reason: Getting a hepatitis B vaccine on a yearly basis is not necessary, as it only requires three doses at 0, 1, and 6 months to provide lifelong immunity against hepatitis B virus infection. People who are at high risk of exposure to hepatitis B virus should get tested for antibodies before receiving the vaccine series.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: This is incorrect because applying petroleum jelly to the client's nares can interfere with oxygen delivery and cause skin breakdown. The nurse should use water-soluble lubricant or saline spray to moisten the nares and prevent dryness from oxygen therapy.
Choice B: This is correct because initiating fall precautions can prevent injury and complications for the client who has aspirated pneumonia and hypoxia. The client may have altered mental status, weakness, or dizziness due to hypoxia, infection, or medications. The nurse should use bed alarms, side rails, and assistive devices as needed.
Choice C: This is incorrect because maintaining the client in a supine position can worsen hypoxia and pneumonia by decreasing lung expansion and increasing secretions. The nurse should elevate the head of the bed at least 30 degrees and encourage frequent position changes to improve ventilation and drainage.
Choice D: This is incorrect because implementing contact precautions is not indicated for the client who has aspirated pneumonia and hypoxia. Aspirated pneumonia is caused by inhalation of foreign material into the lungs, not by transmission of microorganisms from person to person. The nurse should use standard precautions and droplet precautions if the client has a cough or sputum production.
Correct Answer is C
Explanation
Choice A: This is incorrect because blood glucose 98 mg/dL is within the normal range of 70 to 110 mg/dL. The nurse does not need to notify the provider for this value.
Choice B: This is incorrect because BUN 18 mg/dL is within the normal range of 10 to 20 mg/dL. The nurse does not need to notify the provider for this value.
Choice C: This is correct because hemoglobin 8.6 g/dL is below the normal range of 12 to 18 g/dL. The nurse should notify the provider for this value as it indicates anemia, which can be caused by blood loss during surgery or impaired bone marrow function.
Choice D: This is incorrect because potassium 3.5 mEq/L is within the normal range of 3.5 to 5.0 mEq/L. The nurse does not need to notify the provider for this value.
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