A nurse is speaking with several clients at a health fair.
Which of the following statements should the nurse assess further?
"Prepare my medications for the week on Sundays.".
"Prepare all of my own meals.".
"Need to change my hearing aid battery weekly.".
"Have to turn my head completely to see things that are beside me.".
The Correct Answer is D
This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.
Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.
Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.
Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This intervention is a secondary prevention strategy because it involves screening and early intervention to address potential mental health concerns among disaster survivors.
Choices B, C, and D are not secondary prevention strategies.
Publishing a listing of shelter locations in local media sources (choice B) is a primary prevention strategy because it involves providing information to the public before a disaster occurs.
Providing age-appropriate activities for shelter residents (choice C) and compiling resources available to transition individuals from shelters to a home (choice D) are tertiary prevention strategies because they involve providing support and resources to individuals who have already been affected by a disaster
Correct Answer is A
Explanation
Koplik spots are a prodromic viral enanthem of measles manifesting two to three days before the measles rash itself1. They are pathognomonic for measles1. The nurse should review the immunization records of the child’s classmates to ensure they are protected against measles.
Choice C is not the answer because increasing Vitamin B intake is not a treatment for measles.
Choice D is not the answer because using alcohol-based mouthwash is not related to Koplik spots or measles.
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