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 D

Explanation

A. Tell the client they are wrong: Telling the client they are wrong is dismissive and does not foster a therapeutic relationship.
B. Ask the client why they think that way: Asking the client why they think that way may provide insight, but it does not clarify the difference between an allergy and an intolerance.
C. Ignore the comment and proceed with the teaching plan: Ignoring the comment is not appropriate as it fails to address the client’s concern and provide necessary education.
D. Explain to the client the difference between medication intolerance and allergy: This response provides education and clarifies the difference, helping the client understand their reaction to the medication.

A. Reapplying a condom catheter for a client with urinary incontinence B. Feeding a stoke client who has difficulty in swallowing C. Completing a sterile dressing change to a pressure ulcer D. Reinforcing teaching with a client who is learning how to admin

Correct Answer is A

Explanation

A. Reapplying a condom catheter for a client with urinary incontinence: This is a routine task that is appropriate for a nursing assistant to perform under supervision.
B. Feeding a stroke client who has difficulty in swallowing: This task requires careful monitoring for aspiration risks and should be performed by a licensed nurse or speech therapist.
C. Completing a sterile dressing change to a pressure ulcer: This task requires sterile technique and should be performed by a licensed nurse.
D. Reinforcing teaching with a client who is learning how to administer insulin: Teaching and reinforcing education should be performed by a licensed nurse.

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

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is D

Explanation

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

Correct Answer is A

Explanation

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