A clinic nurse is providing care for a 65-year-old woman diagnosed with chronic heart failure. Despite receiving optimal medical treatment, the client frequently experiences exacerbations that result in hospitalizations. During a routine clinic visit, the nurse emphasizes the significance of tertiary prevention strategies with the client. Which intervention demonstrates tertiary prevention and would offer the most benefit for managing the client's condition?

Teaching the client's family about the signs of worsening heart failure and when to contact the healthcare provider

Educating the client about medication side effects

Administering the influenza vaccine to the client

Educating the client about dietary modifications to manage heart failure symptoms

Answer and Explanation

The Correct Answer is A

A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.

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Correct Answer is ["A","C","D"]

Explanation

A. Medicare home care services require that the client has skilled care needs, such as nursing or therapy.
B. Living alone is not a Medicare criterion for home care qualification.
C. A defined plan of care is necessary for Medicare home care to ensure that the care provided meets specific needs.
D. Being homebound is a key criterion for qualifying for Medicare home care, meaning the individual is unable to leave the home without significant difficulty.
E. Supplemental insurance is not a criterion for Medicare home care eligibility, though it may cover additional costs.

A. Quaternary prevention B. Tertiary prevention C. Primary prevention D. Secondary prevention

Correct Answer is D

Explanation

A. Quaternary prevention aims to avoid unnecessary interventions and harm, rather than focusing on early detection and treatment.
B. Tertiary prevention involves managing and reducing the impact of an existing condition, rather than early detection.
C. Primary prevention focuses on preventing the onset of disease by addressing risk factors before disease occurs.
D. Secondary prevention involves early detection and prompt treatment of diseases or conditions to prevent further progression, such as through screening and early intervention.

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Naxlex Comprehensive Predictor Exams

The nurse is conducting a class on Medicare qualifications for home care. Which of the following criteria would the nurse discuss? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

Which level of prevention focuses on early detection and prompt treatment of a disease or condition to prevent further progression?

Correct Answer is D

Explanation

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