A public health nurse is providing an educational program at a health fair focusing on strategies to prevent cancer.
What type of health promotion activity will the nurse describe as an example of secondary prevention?

Schedule colonoscopy screening beginning at age 45.

Monitor for signs of secondary malignancies.

Reduce consumption of processed meat and alcohol.

Avoid ultraviolet radiation with the use of sunscreen and sun protective clothing.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Scheduling colonoscopy screening beginning at age 45 is an example of secondary prevention, which focuses on early detection of diseases in asymptomatic individuals. By identifying precancerous polyps or early-stage colorectal cancer, healthcare providers can intervene earlier, improving outcomes and reducing mortality rates associated with colorectal cancer.

Choice B rationale

Monitoring for signs of secondary malignancies is a part of tertiary prevention, which aims to manage and prevent complications in patients who already have a disease. It does not fit the criteria for secondary prevention, which focuses on early detection before symptoms appear.

Choice C rationale

Reducing consumption of processed meat and alcohol is a primary prevention strategy, aiming to lower the risk of developing cancer in the first place. Primary prevention focuses on preventing the onset of disease through lifestyle and environmental changes, rather than early detection and intervention.

Choice D rationale

Avoiding ultraviolet radiation with the use of sunscreen and sun-protective clothing is also a primary prevention strategy. It aims to prevent skin cancer by reducing exposure to harmful UV rays, thereby lowering the risk of developing cancer from sun damage. .

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Correct Answer is B

Explanation

Choice A rationale

While a reduced-calorie diet may be helpful in some conditions, patients with hyperthyroidism typically require high-calorie diets due to their elevated metabolic rate.

Choice B rationale

Small, frequent meals high in protein and carbohydrates help to meet the increased metabolic demands and prevent muscle wasting in hyperthyroid patients.

Choice C rationale

Large, bland meals are not ideal as patients with hyperthyroidism have high metabolic rates and may require more frequent nutrient intake.

Choice D rationale

While fiber is beneficial for digestive health, it does not specifically address the high metabolic needs of hyperthyroid patients.

A. Facial swelling and jugular vein distension (JVD). B. Muscle weakness, confusion, polyuria, and polydipsia. C. Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm. D. Elevated liver function tests, jaundice, and blistering skin rash.

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Facial swelling and jugular vein distension (JVD) are indicative of superior vena cava syndrome (SVCS), not tumor lysis syndrome (TLS). SVCS occurs when the superior vena cava, which carries blood from the head, neck, upper chest, and arms to the heart, is obstructed. This can lead to facial swelling, cyanosis, and distended neck veins due to increased venous pressure.

Choice B rationale

Muscle weakness, confusion, polyuria, and polydipsia are symptoms of hypercalcemia. Hypercalcemia is characterized by elevated levels of calcium in the blood, which can cause neuromuscular and cognitive symptoms, excessive urination, and increased thirst.

Choice C rationale

Tumor lysis syndrome (TLS) is characterized by rapid destruction of tumor cells, leading to elevated levels of uric acid, potassium, and phosphate. Symptoms include flank pain due to uric acid crystallization in the kidneys, and abnormal heart rhythms due to hyperkalemia.

Choice D rationale

Elevated liver function tests, jaundice, and blistering skin rash are symptoms of liver toxicity or hepatic dysfunction, possibly due to drug-induced liver injury. These symptoms are not related to tumor lysis syndrome (TLS).

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A public health nurse is providing an educational program at a health fair focusing on strategies to prevent cancer.What type of health promotion activity will the nurse describe as an example of secondary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning the care of a patient with hyperthyroidism.What should the nurse specify in the patient's meal plan?

Correct Answer is B

Explanation

The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia.Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?

Correct Answer is C

Explanation

The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy.Which statement from the patient indicates the medication therapy is effective?

The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.The patient states that she is trying to become pregnant.What is the nurse's best response?

The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.What intervention will the nurse implement for this patient?

The nurse is caring for a patient who has a new prescription for levothyroxine.The nurse will include in the teaching plan that levothyroxine decreases the action of which medication?

The nurse is caring for a patient newly diagnosed with hypothyroidism who has a new prescription for levothyroxine 50 mcg orally.Which interventions will the nurse include in the plan of care? Select All That Apply.

The nurse on the oncology unit is caring for a patient receiving chemotherapy for treatment of leukemia.Which patient finding is the nurse's priority for implementing interventions?

The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.What does this result indicate to the nurse?

A public health nurse is providing an educational program at a health fair focusing on strategies to prevent cancer.What type of health promotion activity will the nurse describe as an example of secondary prevention?

A public health nurse is providing an educational program at a health fair focusing on strategies to prevent cancer.
What type of health promotion activity will the nurse describe as an example of secondary prevention?