While interviewing the parents of a 2-year-old female, the nurse ...

[mmm]

While interviewing the parents of a 2-year-old female, the nurse notes that the mother is pregnant. At the end of the visit, the nurse decides to give a new pamphlet to the parents about car seat usage for newborns. This action is an example of:
 
  1. Secondary preventative health maintenance.
  2. Primary preventative health maintenance.
  3. Developmental screening.
  4. Tertiary preventative health maintenance.

Question 2

The nurse is administering several medications to an infant with neurologic impairment and delay. The medication that utilizes a proton pump inhibitor administered for gastroesophageal reflux is:
 
  1. Omeprazole (Prilosec).
  2. Ranitidine (Zantac).
  3. Phenytoin (Dilantin).
  4. Glycopyrrolate (Robinul).

[kaylee05]

Answer to Question 1

2
Rationale:
1. The secondary level of prevention is focused on diagnosis of a problem, usually medical in nature, in order to address it and make a plan of care.
2. The teaching regarding proper car seat use is an example of an activity that might decrease the opportunity for injury in a newborn; therefore, this is primary preventive health maintenance.
3. This is education, and not a developmental screening to elicit data. The focus of the teaching is on an unborn child, so developmental level is not a current issue.
4. The tertiary level of preventative care is related to restoring a level of functioning that is below an expected level, such as in a rehabilitation situation.

Answer to Question 2

1
Rationale:
1. Omeprazole (Prilosec) utilizes a proton pump inhibitor that blocks the action of acid-producing cells and is used to treat gastroesophageal reflux.
2. Ranitidine (Zantac) causes the stomach to produce less acid, and may be used to treat gastroesophageal reflux, but it is a histamine-2 receptor blocker.
3. Phenytoin (Dilantin) is an anticonvulsant used to treat seizures.
4. Glycopyrrolate (Robinul) is an anticholinergic agent used to inhibit excessive salivation.

[mmm]

Thank you

[kaylee05]

Happy to help you