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Question 1 of 5

A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?

Correct Answer: B

Rationale: This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems.

Question 2 of 5

The nurse approaches a 4-year-old boy to administer a medication. The child has no identification armband. Which action is most appropriate?

Correct Answer: D

Rationale: Verifying the child's identity with adults at the bedside ensures safety, as children may not reliably confirm their own identity, and room/bed numbers are not sufficient for identification.

Question 3 of 5

The nurse is assisting with the removal of a client’s chest tube. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Analgesics reduce pain, Valsalva maneuver (bear down) prevents air entry, petroleum gauze seals the site, and suture equipment is needed. Trendelenburg is not indicated for chest tube removal.

Question 4 of 5

A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?

Correct Answer: B

Rationale: This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems.

Question 5 of 5

When interviewing the parents of a child with asthma, it is most important to assess the child's environment for what factor?

Correct Answer: A

Rationale: Animal dander is a very common allergen affecting persons with asthma. Other triggers may include pollens, carpeting and household dust.

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