The nurse implements a secondary prevention program for sexually transmitted infections in a local health center. Which outcome indicates that the program was effective?

Condoms were provided in all health clinics in the community colleges.

More than 50% of at-risk clients were diagnosed early in their disease process.

Healthcare providers prescribed 40% more human papillomavirus (HPV) vaccines.

Average client scores improved on specific risk factor knowledge tests.

Answer and Explanation

The Correct Answer is B

A.   Providing condoms in health clinics is a preventive measure but does not directly indicate the effectiveness of the secondary prevention program.

B.   Diagnosing at-risk clients early in the disease process indicates successful secondary prevention efforts, as early diagnosis allows for prompt treatment and prevention of further transmission.
C.   While increasing HPV vaccine prescriptions is a positive outcome, it does not directly reflect the effectiveness of the program in preventing STIs.
D.   Improved client knowledge is important but does not directly measure the program's effectiveness in preventing STIs.

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Correct Answer is B

Explanation

A. While the length of exposure can be relevant, it is not the most critical factor before starting isoniazid.
B. Isoniazid can cause hepatotoxicity, so a current diagnosis of hepatitis B is crucial to note as it increases the risk of liver damage.
C. A history of intravenous drug abuse is important for overall health assessment but is less critical than current liver disease.
D. Conversion of the PPD test indicates TB exposure, but assessing liver function and potential for hepatotoxicity is more urgent before starting the medication.

A. Propose that the nurse use the antecubital site for IV access. B. Send an unlicensed assistive personnel to gather equipment. C. Direct the nurse to remove the needle before the procedure. D. Suggest starting a secondary infusion at the IV tubing

Correct Answer is C

Explanation

A. Suggesting the antecubital site does not address the immediate issue of using an inappropriate needle size.
B. Sending a UAP to gather equipment is not an immediate action needed to correct the mistake.
C. Using an 18-gauge needle to irrigate an IV catheter is inappropriate and could damage the catheter. The charge nurse should instruct the new nurse to remove the needle and use a syringe without a needle to perform the irrigation safely.
D. Starting a secondary infusion is unrelated to the irrigation process and does not correct the inappropriate needle use.

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The nurse implements a secondary prevention program for sexually transmitted infections in a local health center. Which outcome indicates that the program was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

Correct Answer is B

Explanation

The charge nurse observes a new nurse preparing to irrigate an intravenous catheter. The new nurse is attaching an 18-gauge needle. Which action should the charge nurse take?

Correct Answer is C

Explanation

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