While conducting the health assessment, the nurse instructs the client about secondary prevention activities. What information did the nurse most likely provide to this client?

The immunization schedule recommended for the client's age.

The need for regular mammogram screening to identify breast cancer lesions.

The need for consistent use of seat belts when in a motor vehicle.

The impact of annual vision examinations on personal health and safety.

Answer and Explanation

The Correct Answer is B

Choice a reason:
Immunization schedules are typically considered a part of primary prevention. They are intended to prevent diseases before they occur by using vaccines to provide immunity against infections.

Choice b reason:
Regular mammogram screenings are a form of secondary prevention. They are used to detect breast cancer lesions early before symptoms appear, which can lead to more effective treatment and better outcomes.

Choice c reason:
The consistent use of seat belts is a primary prevention strategy. It is a proactive measure to prevent injuries in the event of a motor vehicle accident.

Choice d reason:
Annual vision examinations can be considered part of secondary prevention if they are used to detect vision problems or eye diseases in their early stages. However, they can also be seen as primary prevention because they help maintain and protect eye health before issues arise.

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Correct Answer is D

Explanation

Choice a reason:
Exophthalmos, or protrusion of the eyeballs, is not a typical finding in hypothyroidism. It is more commonly associated with hyperthyroidism, particularly Graves' disease, which is characterized by an overactive thyroid gland.

Choice b reason:
Photophobia, or light sensitivity, is not a common symptom of hypothyroidism. While it can be associated with other conditions, it is not directly related to the function of the thyroid gland.

Choice c reason:
Weight loss is typically not associated with hypothyroidism. In fact, individuals with hypothyroidism often experience weight gain due to a slowed metabolism, which is the opposite of weight loss.

Choice d reason:
Lethargy is a common symptom of hypothyroidism. The condition can lead to a decrease in thyroid hormone production, which can slow down the body's metabolism, resulting in feelings of fatigue, sluggishness, and lethargy.

A. Facial expression. B. Level of consciousness. C. Posture, gait, motor activity, and speech. D. Apparent state of health.

Correct Answer is B

Explanation

Choice A reason:
Facial expression is an important aspect of the general survey as it can provide clues about a patient's emotional state and possible pain. However, it is not directly related to the patient's level of consciousness. After a motor vehicle crash, assessing facial expression is crucial to identify any signs of distress, trauma, or neurological impairment.
Choice B reason:
Level of consciousness is a critical component of the general survey, especially in the context of trauma or potential neurological injury. It refers to the patient's awareness and responsiveness to the environment. Assessing the level of consciousness involves determining if the patient is awake, alert, and oriented to time, place, and person, which is essential for establishing a baseline cognitive function and detecting any changes that may indicate deterioration or improvement in their condition.
Choice C reason:
Posture, gait, motor activity, and speech are assessed to evaluate the musculoskeletal and neurological systems. While these are important in the context of a motor vehicle crash, they are not specifically related to the level of consciousness. These assessments help identify any deficits that may result from injuries sustained during the crash, such as fractures, dislocations, or neurological damage affecting movement and coordination.
Choice D reason:
The apparent state of health is a broad assessment that includes the patient's overall appearance and any signs that may indicate acute or chronic illness. In the emergency setting, this may involve observing for signs of trauma, shock, or other life-threatening conditions. While it is an essential part of the general survey, it is not specifically focused on the level of consciousness but rather on the patient's general well-being and any obvious health concerns.

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While conducting the health assessment, the nurse instructs the client about secondary prevention activities. What information did the nurse most likely provide to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Prior to completing the physical examination of a patient post motor vehicle crash, the ER nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

Correct Answer is B

Explanation

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

A client with a history of COPD is being assessed. When the nurse percusses the client's chest, which characteristic sound is expected?

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?

When preparing to examine a client's sclera and conjunctiva during an eye examination, the nurse should instruct the client to move both eyes to look in which direction?

While auscultating a client's 1st and 2nd intercostal spaces, close to the sternal body, the nurse would document these normal breath sounds as which of the following?

During the physical examination of the mouth, the nurse identifies vesicular eruptions along the client's lips and surrounding skin. Which problem should the nurse document?

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?