the client diagnosed with a mild concussion is being discharged from the emergency department which discharge instruction should the nurse teach the c

ATI RN

ATI Community Health Nursing Ch 7

1. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

A. Awaken the client every two (2) hours.
B. Monitor for increased intracranial pressure.
C. Observe frequently for hypervigilance.
D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

2. How should contaminated instruments used during delivery be handled?

A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
B. Soak in 0.5% chlorine solution for 30 minutes
C. Wash with soap and water and boil for 2 hours
D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.

3. Which action demonstrates secondary prevention?

A. Screening for early signs of disease
B. Providing rehabilitation services
C. Administering medications
D. Providing health education

Correct answer: A

Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.

4. Which action would be classified as tertiary prevention?

A. Providing rehabilitation services
B. Administering medications
C. Conducting health education sessions
D. Conducting follow-up appointments

Correct answer: A

Rationale: The correct answer is providing rehabilitation services. Tertiary prevention focuses on improving the quality of life and minimizing the impact of chronic conditions. Rehabilitation services help individuals with chronic illnesses or disabilities to restore or enhance their functioning, making it a crucial aspect of tertiary prevention efforts.

5. Which best describes a tertiary prevention strategy?

A. Providing rehabilitation services
B. Screening for early signs of disease
C. Educating the public about healthy lifestyles
D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.