When should the client test his blood sugar levels for greater accuracy?

Correct Answer: C

Rationale: Before meals fasting e.g., baseline sugar is accurate, unlike during (eating), between (variable), post-meal (spike). Nurses advise e.g., AM for monitoring, per endocrinology.

Correct Answer: A

Rationale: Relocating to practice nursing in a new state requires diligence to ensure compliance with local regulations, as each state's nurse practice act varies, even within compact states. Researching the laws and regulations governing nursing practice in the new state is a critical first step, providing insight into licensure requirements, scope of practice, and any unique provisions. Locating the state nursing practice act, often available online, offers the primary source of these rules, allowing the nurse to study and reference them regularly for updates. Accessing educational resources, like those from the National Council of State Boards of Nursing (NCSBN), further clarifies expectations. Visiting the state board isn't necessary unless required for licensure, and notifying the current state isn't typically mandatory unless exiting a compact agreement. These actions ensure the nurse practices legally and safely, adapting to the new state's standards while protecting their professional integrity and patient safety.

Correct Answer: D

Rationale: Evidence-based nursing practice (EBNP) integrates the best research with clinical expertise and patient values, prioritizing systematic evidence over anecdote. Recommending ginger for obstetric nausea, based on a literature review, exemplifies this identifying a problem, reviewing studies, and applying findings to practice, ensuring efficacy and safety. Relying on 35 years of experience or personal observations lacks research validation, risking outdated or biased care. Consulting about aspirin reflects a single article's influence, not a comprehensive evidence synthesis, limiting its scope. EBNP's strength lies in its rigorous process ginger's use stems from multiple studies, offering a replicable, patient-centered solution. This approach enhances care quality, reduces variability, and aligns with nursing's scientific evolution, particularly for common issues like nausea in pregnancy.

Correct Answer: C

Rationale: For college students, a developmentally appropriate primary prevention discussion targets relevant risks like sexual activity making 'Use of condoms can help prevent STIs and unwanted pregnancy' ideal. This addresses immediate health choices, promoting safety and averting disease or complications, fitting their life stage where sexual exploration peaks. Papanicolaou tests, HIV screening, and testicular exams are secondary prevention, focusing on early detection, less aligned with primary prevention's preemptive ethos. Condom use education empowers students with actionable, age-specific knowledge, reducing STI rates (e.g., chlamydia, prevalent in young adults) and unplanned pregnancies. This aligns with nursing's preventive focus, tailoring advice to developmental needs, ensuring relevance and impact for a population navigating new independence.

Correct Answer: C

Rationale: Primary prevention stops illness before it begins, ideal for clients with risk factors but no disease. Educating about exercise benefits like reducing heart disease odds promotes healthy habits, targeting risks such as obesity or inactivity common across chronic conditions. Screening for cholesterol is secondary, detecting issues, not preventing them. Referring to a nutritionist could be primary but often follows identified needs, leaning tertiary. Planning care for hypertension is tertiary, managing a diagnosis. Exercise education empowers this group proactively evidence shows it cuts diabetes and cardiovascular risk fitting community nursing's preventive focus. This action builds resilience, aligning with nursing's goal to avert chronic illness onset through accessible, universal lifestyle changes, not reactive care.