A home health nurse is caring for an elderly client who has heart failure. Which of the following interventions on the tertiary level of prevention could be included in the care?
Reinforce past teachings on how to read food labels.
Review the daily weights the client has collected since the last home visit.
Remind the client to ask for the pneumococcal vaccine during their next provider appointment.
Auscultate the lungs and assess for edema.
The Correct Answer is B
Choice A Reason:
Reinforcing past teachings on how to read food labels is an important educational intervention. It helps the client make informed dietary choices, which can be crucial in managing heart failure. However, this intervention is more aligned with secondary prevention, which focuses on early detection and management of disease risk factors to prevent progression. Tertiary prevention, on the other hand, aims to manage and mitigate complications of an already established disease.
Choice B Reason:
Tertiary prevention focuses on managing and mitigating the effects of an existing disease to prevent complications and improve quality of life. In the context of heart failure, this involves monitoring and managing symptoms to prevent disease progression and hospitalizations. Reviewing the client's daily weights helps detect early signs of fluid retention, a common issue in heart failure, allowing for timely interventions.
Choice C Reason:
Reminding the client to ask for the pneumococcal vaccine during their next provider appointment is a preventive measure aimed at reducing the risk of infections, which can exacerbate heart failure. This intervention falls under primary prevention, as it aims to prevent the occurrence of a new health issue (pneumonia) rather than managing an existing condition.
Choice D Reason:
While assessing for edema is important in managing heart failure, it is more of a diagnostic activity rather than an intervention. Tertiary prevention involves interventions to manage and mitigate the effects of an existing disease.
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Related Questions
Correct Answer is D
Explanation
Choice A Reason:
The portal of entry refers to the site through which pathogens enter the body. While handwashing can indirectly affect the portal of entry by reducing the number of pathogens on the hands, it primarily targets the mode of transmission. The portal of entry includes areas such as the respiratory tract, gastrointestinal tract, and breaks in the skin.
Choice B Reason:
The susceptible host is an individual who is at risk of infection due to factors such as age, underlying health conditions, or weakened immune systems. Handwashing does not directly alter the susceptibility of the host but rather reduces the likelihood of the host coming into contact with pathogens.
Choice C Reason:
The portal of exit is the site from which pathogens leave the host to infect another individual. Common portals of exit include the respiratory tract, gastrointestinal tract, and open wounds. Handwashing does not directly impact the portal of exit but helps prevent the spread of pathogens from one person to another.
Choice D Reason:
Mode of transmission refers to the way pathogens are transferred from one host to another. Handwashing is a critical intervention that targets this link in the chain of transmission by removing pathogens from the hands, thereby preventing their spread through direct contact or contact with contaminated surfaces. This is why proper handwashing technique is emphasized in infection control practices.
Correct Answer is B
Explanation
Choice A: Public Health
Public health focuses on protecting and improving the health of populations through education, policy-making, and research for disease and injury prevention. It typically operates within a specific country or community, addressing local health issues and promoting healthy lifestyles. While public health initiatives can have international implications, they are generally not centered on international collaboration to the same extent as global health.
Choice B: Global Health
Global health is defined as the area of study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. It emphasizes international collaboration and a multidisciplinary approach to address health issues that transcend national boundaries. Global health initiatives often involve partnerships between countries, international organizations, and various sectors to tackle health disparities and improve health outcomes globally.
Choice C: Community Health
Community health focuses on the health status and needs of specific communities or populations within a defined geographic area. It involves the development and implementation of strategies to improve the health and well-being of community members. While community health can contribute to broader public health goals, it does not typically involve the same level of international collaboration as global health.
Choice D: Population Health
Population health refers to the health outcomes of a group of individuals, including the distribution of such outcomes within the group. It aims to improve the health of an entire population by addressing a wide range of factors that influence health, such as social, economic, and environmental determinants. Population health strategies can be applied at local, national, or global levels, but the term itself does not specifically imply international collaboration.
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