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 A

Explanation

A. An ionized calcium level significantly above the reference range can lead to cardiac dysrhythmias and requires immediate attention to assess cardiac function.
B. While urine output and characteristics are important indicators of renal function, cardiac assessment takes priority due to the potential cardiac effects of hypercalcemia.
C. Assessment of deep tendon reflexes is relevant since hypercalcemia can lead to muscle weakness and diminished reflexes. However, this should be done after assessing for any cardiac dysrhythmias.
D. Comparing muscle strength bilaterally is important for assessing neurological integrity but is not the priority when hypercalcemia is suspected.

A. Tell the UAP to turn off the amiodarone. B. Evaluate rhythm of client's heat rate. C. Determine regularity of peripheral pulses. D. Restart the IV infusion in another site.

Correct Answer is B

Explanation

A. The UAP should not make medication decisions; only a nurse or healthcare provider should do this after assessment.
B. The nurse should evaluate the client’s heart rhythm to determine the effectiveness of the amiodarone and to assess for any arrhythmias or side effects of the medication.
C. Checking the regularity of peripheral pulses is important but secondary to assessing the heart rhythm directly.
D. Restarting the IV infusion might be necessary if there are issues with the IV site, but the primary concern is the client's cardiac status.

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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?

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Naxlex Comprehensive Predictor Exams

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)]

Correct Answer is A

Explanation

Correct Answer is B

Explanation

A client experiencing an acute dystonic reaction presents with a laryngeal spasm. Which treatment should the nurse prepare?

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The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

The nurse is assigned to care for four surgical clients. After receiving report, which client should the nurse see first?

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