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 monitoring urinary output is important, it is not the most critical assessment in this context.
B. Monitoring serum electrolytes is crucial because the large amount of fecal liquid output from the ileostomy can lead to significant electrolyte imbalances.
C. Peristomal skin integrity is important but is secondary to the immediate risk of electrolyte imbalances.
D. Skin turgor is important for assessing hydration status, but monitoring electrolytes is more directly related to the immediate postoperative care.

Correct Answer is ["9"]

Explanation

To calculate the new infusion rate in mL/hour for a prescription of 900 units/hour, one must first determine the concentration of the Heparin Sodium solution. The original concentration is 25,000 units in 250 mL, which means there are 100 units per mL. To deliver 900 units/hour, the nurse should program the infusion pump to deliver 9 mL/hour. This is because 900 units divided by the concentration of 100 units/mL equals 9 mL.

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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

Assessment findings for a client following a colectomy for familial polyposis include an ileostomy bag that contains a large amount of fecal liquid and an IV infusion of dextrose 5% in lactated Ringer's infusing at a rate of 100 mL/hour. Which assessment is most

Correct Answer is B

Explanation

A client is receiving "Heparin Sodium 25,000 Units in 250 mL 5% Dextrose" IV at 7 mL/hour. The healthcare provider changes the prescription to 900 units/hour. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only.)

Correct Answer is ["9"]

Explanation

During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

While completing an admission assessment for a client with unstable angina, which closed ended questions should the nurse ask about the client's chest pain?

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When assessing a client with an ionized calcium level of 17 mg/dL (4.25 mmol/L), which intervention is most important for the nurse to implement? Reference Range lonized Calcium [Adult 4.6 to 5.1 mg/dL (1.15 to 1.35 mmol/L)]