A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Secondary

Disease process

Tertiary

Primary

Answer and Explanation

The Correct Answer is C

A. Secondary: Secondary prevention involves early detection and prompt intervention to prevent progression of disease.
B. Disease process: This term does not describe a level of prevention.
C. Tertiary: Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects. Rehabilitation after a stroke is an example of tertiary prevention.
D. Primary: Primary prevention aims to prevent disease or injury before it ever occurs.

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Correct Answer is ["B","C","D"]

Explanation

A. change a sterile dressing: Changing a sterile dressing is a complex task that requires the skills and knowledge of an RN or LPN, not a CNA.
B. Ambulate a stable client to the bathroom: Ambulating a stable client is within the scope of practice for a CNA and can be delegated.
C. take vital signs for the unit: Taking vital signs is a common task for CNAs and can be delegated.
D. Provide morning care to a client: Providing morning care (such as bathing, grooming) is within the scope of practice for a CNA and can be delegated.
E. Give the discharge instructions to a client going home: Giving discharge instructions requires the assessment and judgment of an RN and cannot be delegated to a CNA.

A. Proper foot care will be demonstrated to clients during the program. B. A facility will be reserved for the program C. Handouts and teaching materials will be distributed. D. Clients will have a decreased incidence of foot ulcers within a month time.

Correct Answer is D

Explanation

A. Proper foot care will be demonstrated to clients during the program: This is specific and measurable but lacks a timeframe and does not clearly define a goal for the clients.
B. A facility will be reserved for the program: This is a task rather than a goal related to client outcomes.
C. Handouts and teaching materials will be distributed: This is another task rather than an outcome goal for clients.
D. Clients will have a decreased incidence of foot ulcers within a month: This is a SMART goal as it is specific, measurable, achievable, relevant, and time-bound. It focuses on a specific health outcome for clients.

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A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)

Correct Answer is ["B","C","D"]

Explanation

A nurse is planning a community diabetes mellitus management program. Which of the following SMART goals should the nurse include for the client?

Correct Answer is D

Explanation

A nurse is teaching a client to administer insulin. The nurse should identify the following actions as part of the assessment step of the teaching plan?

A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

Determine which of the following goals is a SMART goal

A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?

A nurse is preparing to administer Temazepam 15 mg PO at bedtime. The amount available is Temazepam 30 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner: