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.
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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Related Questions
Correct Answer is D
Explanation
- A) Any level of fever is not necessarily serious after vaccination. Mild fever is a common side effect and can be monitored at home unless it exceeds 101 degrees Fahrenheit or persists beyond 48 hours.
- B) Keeping the child home from daycare is not necessary unless the child develops symptoms that warrant closer observation or care, such as a high fever or behavioral changes.
- C) Aspirin should not be given to children due to the risk of Reye's syndrome, a rare but serious condition that can cause swelling in the liver and brain.
- D) Applying a cool pack to the injection site is a safe and effective way to reduce discomfort and swelling that may occur after the vaccination.
Correct Answer is A
Explanation
A.
Even though the client has a "Do Not Resuscitate" (DNR) order, routine care such as turning the client to prevent complications (e.g., pressure ulcers) remains important. The nurse should ensure the UAP understands the need to continue positioning the client according to the care plan, as this is a preventive measure for comfort and overall care, not a resuscitative measure.
B. Assume total care of the client to monitor neurologic function: Assuming total care may not be necessary, but providing guidance on comfort care measures is appropriate.
C.
Comfort care measures are important, but preventing complications such as pressure ulcers by turning the client is also part of providing comfort and care. Ceasing turning the client prematurely could lead to additional complications, which is not in the best interest of the patient.
D. Assign a practical nurse to assist the UAP in turning the client: While additional assistance may be helpful, ensuring that comfort care measures are provided is the priority.
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