The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

Clients who incurred disease complications promptly received rehabilitation.

More than half of at-risk clients were diagnosed early in their disease process.

Average client scores improved on specific risk factor knowledge tests.

New screening protocols were developed, validated, and implemented.

Answer and Explanation

The Correct Answer is C

A.   Clients who incurred disease complications promptly received rehabilitation: This outcome suggests that the focus is on secondary prevention rather than primary prevention.
B.   More than half of at-risk clients were diagnosed early in their disease process: While early diagnosis is important, it is not a direct measure of the effectiveness of a primary prevention program.
C.   Average client scores improved on specific risk factor knowledge tests: This outcome indicates that clients are better informed about risk factors for sexually transmitted diseases, suggesting that the primary prevention program has been effective in increasing awareness and knowledge.
D.   New screening protocols were developed, validated, and implemented: While developing new screening protocols may be beneficial, it does not directly measure the effectiveness of the
primary prevention program.

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Correct Answer is D

Explanation

A. Assisting the client to recall everyone possibly exposed since the onset of symptoms is important for contact tracing but is not the most immediate action to take.
B. Teaching the client to wear a mask, hand wash, and social distance to prevent spreading the virus is important for infection control but does not address the immediate need to prevent
potential transmission to others in the clinic setting.
C. Placing the nasal swab specimen for COVID-19 directly into a biohazard bag is appropriate for specimen handling but does not address the need for immediate infection control measures for the client and others in the clinic setting.
D. Moving the client to a private room, keeping the door closed, and initiating droplet precautions is the most important action to take to prevent potential transmission of COVID-19 to others in the clinic setting, given the client's symptoms and recent travel history.

A. Inspiratory and expiratory bilateral crackles. B. Average urine output of 28 mL/hour. C. Vesicular bibasilar breath sounds. D. Central venous pressure of 12 mm Hg.

Correct Answer is A

Explanation

A. Inspiratory and expiratory bilateral crackles indicate fluid overload or pulmonary edema, which can be life-threatening and requires immediate intervention. This condition can impair gas exchange and lead to respiratory distress or failure if not promptly addressed.

B. An average urine output of 28 mL/hour is below the expected minimum of 30 mL/hour for adults, indicating potential renal impairment or inadequate fluid resuscitation. While concerning, it is not as immediately life-threatening as pulmonary edema.

C. Vesicular bibasilar breath sounds are normal breath sounds heard at the bases of the lungs and do not indicate any immediate respiratory distress or fluid overload. This finding does not warrant urgent intervention.

D. A central venous pressure (CVP) of 12 mm Hg is within the upper normal range (8-12 mm Hg) and suggests adequate fluid resuscitation. It does not indicate fluid overload or other immediate concerns requiring urgent intervention.

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The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

Correct Answer is D

Explanation

A client with 50% full-thickness burns has received fluid resuscitation for the past 24 hours. Which assessment warrants immediate intervention by the nurse?

Correct Answer is A

Explanation

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