Examkin

Soru

Zorluk: Çok zorHealth Promotion and Disease Prevention

A practical nurse is assisting with health maintenance protocols at a comprehensive community family clinic that serves patients across the lifespan. Based on the principles of health promotion and disease prevention, which action by the nurse is clinically correct?

  1. Reinforcing teaching for the parents of an exclusively breastfed 1-month-old infant regarding the necessity of a daily 400 IU vitamin D liquid supplement.Cevap
  2. B
    Gathering supplies to administer a routine live-attenuated varicella immunization to a 24-year-old client attending a second-trimester prenatal wellness visit.
  3. C
    Distributing an unedited, standardized cardiovascular health brochure featuring shellfish and pork recipes to an older adult client who observes strict Kosher dietary laws.
  4. D
    Documenting a 79-year-old client's abrupt onset of auditory hallucinations and profound confusion over a 12-hour period as an expected age-related cognitive transition.

Cevap

The correct action is reinforcing teaching regarding the necessity of a daily 400 IU vitamin D liquid supplement for an exclusively breastfed infant.
The correct answer identifies a vital primary prevention strategy within the practical nurse's scope of practice. Exclusively breastfed infants are at a high risk for vitamin D deficiency because breast milk does not inherently supply the required amounts. Reinforcing the pediatric provider's directive for a daily 400 IU liquid vitamin D supplement ensures optimal bone mineralization and prevents nutritional rickets.

Adım Adım Çözüm

1
Evaluate the pediatric health promotion intervention for the breastfed infant.
Identified that exclusively breastfed infants require exogenous vitamin D to support skeletal growth and prevent rickets.
Primary prevention through vitamin D supplementation is a universally recognized standard of care for newborns.
2
Analyze the immunization scenario for the pregnant client.
Identified that live-attenuated vaccines carry significant teratogenic risks.
Administering the varicella vaccine to a pregnant client violates fundamental contraindication guidelines.
3
Assess the cultural appropriateness of the cardiovascular education provided.
Identified that providing recipes with pork and shellfish to a client keeping Kosher ignores deep-rooted cultural restrictions.
Effective health promotion requires culturally tailored interventions to ensure client adherence and respect.
4
Differentiate the geriatric client's cognitive symptoms.
Identified that a sudden, 12-hour onset of severe disorientation is indicative of acute delirium.
Misinterpreting acute delirium as normal cognitive aging delays potentially life-saving medical investigations.

Anahtar Kavram

Health promotion and disease prevention protocols across the lifespan, including pediatric nutritional supplementation, strict immunization contraindications in pregnancy, culturally competent education, and distinguishing acute delirium from normal aging.
Bu soruyu puanla

Konular

Health Promotion and Disease Prevention

Bu konudan daha fazla soru