A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?
Advocate for laws that prohibit texting while driving.
Provide a smoking cessation class.
Refer a client who is recovering from a substance use disorder to a social service program.
Encourage a pregnant client to participate in prenatal care.
The Correct Answer is B
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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Correct Answer is C
Explanation
Choice A is wrong because, "An adolescent who has scoliosis," Severe scoliosis may require treatment, such as a brace or surgery, but in general, scoliosis is not an acute health emergency. Early detection can help manage the condition effectively, but it is not a priority over more urgent health concerns.
Choice B is wrong because, "An adolescent who has psoriasis," is not the correct answer as it is not an urgent health issue that requires immediate attention.
Choice C is correctbecause, "A child who has nits," Nits are the eggs of lice, which are tiny parasitic insects that infest the scalp, causing itching and discomfort. While head lice infestation can be a nuisance, it is generally not dangerous. However, it is highly contagious, especially in a school setting, and can spread rapidly among children.
Choice D is wrong because, "A child who has a BMI of 18," is also not the correct answer as while it is important to address, it is not an urgent health issue that requires immediate attention.
Correct Answer is C
Explanation
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
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