In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?

• A.Crisis intervention with an intoxicated teenager whose mother just committed suicide
• B.Referring a client who has been on a detoxification unit to a rehabilitation center
• C.Teaching fifth-grade children the harmful effects of substance abuse
• D.Counseling a client with post-traumatic stress disorder

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As a postoperative cholecystectomy client completes tomorrow's dinner menu, the nurse knows that one of the following meal choices will best provide the essential vitamin(s) necessary for proper tissue healing?

• A.Liver, white rice, spinach, tossed salad, custard pudding
• B.Fish fillet, carrots, mashed potatoes, butterscotch pudding
• C.Roast chicken, gelatin with sliced fruit
• D.Chicken breast fillet in tomato sauce, potatoes, mustard greens, orange and strawberry slices

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A client has ascites, which is caused by:

• A.Decreased plasma proteins
• B.Electrolyte imbalance
• C.Decreased renal function
• D.Portal hypertension

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At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her contractions are every 5 minutes and last 60 seconds, her cervix is closed, and the suture placed around her cervix during her 16th week of gestation, when she had the MacDonald procedure, can still be felt by the physician. The amniotic sac is still intact. She is very concerned about delivering prematurely. She asks the RN, "What is the greatest risk to my baby if it is born prematurely?" The RN's answer should be:

• A.Hyperglycemia
• B.Hypoglycemia
• C.Lack of development of the intestines
• D.Lack of development of the lungs

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The nurse instructs a client on the difference between true labor and false labor. The nurse explains, "In true labor:

• A.Uterine contractions will weaken with walking."
• B.Uterine contractions will strengthen with walking."
• C.The cervix does not dilate."
• D.The fetus does not descend."

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