A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?

Step 1: Determine the total daily dose of vancomycin.

• Total daily dose = 50 mg

Step 2: Divide the total daily dose into four equal doses.

• Each dose = 50 mg ÷ 4
• Each dose = 12.5 mg

Step 3: Determine the amount of vancomycin available per capsule.

• Each capsule = 125 mg

Step 4: Calculate the number of capsules needed for each dose.

• Number of capsules per dose = 12.5 mg ÷ 125 mg
• Number of capsules per dose = (12.5 ÷ 125)
• Number of capsules per dose = 0.1

Step 5: Round the answer to the nearest whole number.

• Rounded number of capsules per dose = 0.1 (rounded to 0)

Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.

So, the nurse should administer 1 tabletwith each dose.

Choice A reason: Low-protein, low-potassium diet

A low-protein, low-potassium diet is not typically recommended for acute glomerulonephritis. While protein intake may need to be moderated to reduce the workload on the kidneys, potassium restriction is usually not necessary unless there is hyperkalemia (high potassium levels) present. The primary dietary focus should be on managing fluid and sodium intake to control edema and hypertension.

Choice B reason: Regular diet, no added salt

A regular diet with no added salt is a step in the right direction but may not be sufficient for managing acute glomerulonephritis with significant edema. Sodium restriction is crucial to help reduce fluid retention and control blood pressure. Therefore, a more stringent low-sodium diet is often necessary.

Choice C reason: Low-carbohydrate, low-protein diet

A low-carbohydrate, low-protein diet is not appropriate for managing acute glomerulonephritis. Carbohydrate intake does not directly impact kidney function in this context, and protein intake should be moderated rather than severely restricted. The focus should be on sodium and fluid management.

Choice D reason: Low-sodium, fluid-restricted diet

A low-sodium, fluid-restricted diet is the most appropriate choice for a client with acute glomerulonephritis and peripheral edema. Reducing sodium intake helps to minimize fluid retention and control blood pressure, while fluid restriction helps to prevent further edema and manage the workload on the kidneys. This dietary approach is essential for managing the symptoms and complications associated with acute glomerulonephritis.