Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse implements a secondary prevention program for sexually transmitted infections in a local health center. Which outcome indicates that the program was effective?
A. Condoms were provided in all health clinics in the community colleges.
Providing condoms in health clinics is a preventive measure but does not directly indicate the effectiveness of the secondary prevention program.
B. More than 50% of at-risk clients were diagnosed early in their disease process.
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. Healthcare providers prescribed 40% more human papillomavirus (HPV) vaccines.
While increasing HPV vaccine prescriptions is a positive outcome, it does not directly reflect the effectiveness of the program in preventing STIs.
D. Average client scores improved on specific risk factor knowledge tests.
Improved client knowledge is important but does not directly measure the program's effectiveness in preventing STIs.
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Full Explanation
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.
Similar Questions
The nurse enters a client's room to administer oral medications and finds an unlicensed assistive personnel (UAP) providing personal care to the client, whose condition has obviously deteriorated. The client is lying in a supine position and is weak, pale, and diaphoretic. Which is the priority nursing action?
A. Advise the UAP to stop providing care so the nurse can assess the client's condition.
The priority is to immediately intervene in the care being provided by the UAP and assess the client's condition to ensure prompt intervention if necessary.
B. Explain to the UAP that changes in a client's condition should be reported immediately.
While educating the UAP is important, immediate assessment and intervention for the client take precedence.
C. Determine why the UAP did not notify the nurse of the change in the client's condition.
Investigating the reason for the UAP's actions can wait until after the client's condition has been assessed and stabilized.
D. Ask the UAP to position the client so the oral medications can be administered.
Administering oral medications can wait until after the client's condition has been assessed and stabilized.
Full Explanation
A. The priority is to immediately intervene in the care being provided by the UAP and assess the client's condition to ensure prompt intervention if necessary.
B. While educating the UAP is important, immediate assessment and intervention for the client take precedence.
C. Investigating the reason for the UAP's actions can wait until after the client's condition has been assessed and stabilized.
D. Administering oral medications can wait until after the client's condition has been assessed and stabilized.
The nurse is assigned to care for four surgical clients. After receiving report, which client should the nurse see first?
A. An older client with continuous bladder irrigation who is 2 days postoperative for bladder surgery.
Continuous bladder irrigation postoperatively is a routine procedure and does not require immediate intervention unless there are complications.
B. An older client who is receiving packed red blood cells on the third day postoperative for colon resection.
This client may be at risk for complications such as a transfusion reaction or hemorrhage. Close monitoring is required to ensure the client's vital signs are stable and there are no adverse reactions to the transfusion.
C. An adult one day postoperative laparoscopic cholecystectomy requesting pain medication.
A client requesting pain medication one day postoperative from a laparoscopic cholecystectomy, would follow as effective pain management is important for recovery, but this situation is not immediately life-threatening.
D. An adult who is in traction, and scheduled for hip arthroplasty within the next 12 hours.
While hip arthroplasty is a significant procedure, the client in traction is not in an acute postoperative state requiring immediate attention.
Full Explanation
A. Continuous bladder irrigation postoperatively is a routine procedure and does not require immediate intervention unless there are complications.
B. This client may be at risk for complications such as a transfusion reaction or hemorrhage. Close monitoring is required to ensure the client's vital signs are stable and there are no adverse reactions to the transfusion.
C. A client requesting pain medication one day postoperative from a laparoscopic cholecystectomy, would follow as effective pain management is important for recovery, but this situation is not immediately life-threatening.
D. While hip arthroplasty is a significant procedure, the client in traction is not in an acute postoperative state requiring immediate attention.
Following a fractured left tibia, which necessitated placement of long leg cast, a client is using crutches to ambulate. During an orthopedic follow-up visit, a client reports to the nurse having difficulty managing the crutches. Which assessment should the nurse perform?
A. Measure capillary refill time.
Capillary refill time assessment is more relevant for circulatory status and would not directly address the client's difficulty with crutch management.
B. Palpate for dependent edema.
Palpating for dependent edema would not provide information directly related to the client's ability to use crutches.
C. Determine degree of skin elasticity.
Assessing skin elasticity is not directly related to the client's ability to manage crutches.
D. Note hand and forearm strength.
Strength in the hands and forearms is essential for proper crutch use, as these muscles bear much of the weight while ambulating with crutches.
Full Explanation
A. Capillary refill time assessment is more relevant for circulatory status and would not directly address the client's difficulty with crutch management.
B. Palpating for dependent edema would not provide information directly related to the client's ability to use crutches.
C. Assessing skin elasticity is not directly related to the client's ability to manage crutches.
D. Strength in the hands and forearms is essential for proper crutch use, as these muscles bear much of the weight while ambulating with crutches.