A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further?

"I have to change my hearing aid battery weekly."

"I have to turn my head completely to see things that are beside me."

"I prepare my medications for the week on Sundays."

"I prepare all of my own meals."

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B because, "I have to turn my head completely to see things that are beside me." This statement suggests the possibility of impaired peripheral vision, which could be a safety concern. The nurse should assess further and possibly refer the client for further evaluation.

Choice A is wrong because, "I have to change my hearing aid battery weekly," is not the correct answer as it is a routine self-care task for individuals with hearing aids. Choice C is wrong because, "I prepare my medications for the week on Sundays," is not the correct answer as it is a routine self-care task for individuals who take multiple medications. Choice D is wrong because, "I prepare all of my own meals," is not the correct answer as it is a routine selfcare task for many individuals.

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Correct Answer is ["A","D"]

Explanation

The correct answers are A and D. The extension cord presents a trip hazard and should be replaced with a longer power strip or have a qualified electrician install additional outlets. The water heater temperature is above the recommended range of 49° C (120° F) and should be adjusted to prevent scalding. The red light in the bedroom (Choice B is wrong because) is not a safety hazard, the rubber-backed bath mat (Choice C is wrong because) is a safety measure to prevent falls, and carpeted floors (choice E) are also not a safety hazard.

Choice A is An extension cord extends across the floor of the living room presents a trip hazard.

Choice B is wrong because: A red light is kept on in the bedroom at night is not a safety hazard.

Choice C is wrong because: A rubber-backed bath mat is on the floor outside the shower is a safety measure to prevent falls.

Choice D is The water heater is set at 54.4° C (130° F) is above the recommended range and can cause scalding.

Option E: Carpeted floors are not a safety hazard.

A. Advocate for laws that prohibit texting while driving. B. Provide a smoking cessation class. C. Refer a client who is recovering from a substance use disorder to a social service program. D. Encourage a pregnant client to participate in prenatal care.

Correct Answer is B

Explanation

The correct answer is Choice B because "Provide a smoking cessation class." Secondary prevention activities aim to detect and treat a disease in its early stages. In the case of smoking cessation classes, it is a secondary prevention activity because it aims to detect and treat the harmful effects of smoking before it progresses to a more serious condition such as lung cancer or chronic obstructive pulmonary disease.

Choice A is wrong because, "Advocate for laws that prohibit texting while driving," is not the correct answer because it is an example of primary prevention, which aims to prevent the onset of a disease or injury. Choice C is wrong because, "Refer a client who is recovering from a substance use disorder to a social service program," is an example of tertiary prevention, which aims to prevent complications or further progression of a disease. Choice D is wrong because, "Encourage a pregnant client to participate in prenatal care," is also an example of primary prevention, which focuses on preventing the onset of a disease or condition.

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A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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