A nurse at the clinic is involved in disease surveillance. What level of prevention is this?

Choice A rationale
A 30-year-old male patient with an active GI bleed requiring multiple blood transfusions is not suitable for assignment to an LPN. This patient is unstable and requires close monitoring and frequent assessments, which are beyond the LPN’s scope of practice. The RN should manage this patient to ensure proper care and timely interventions.
Choice B rationale
A 55-year-old male patient who is post-surgery and ready for discharge, requiring discharge instructions, is also not suitable for assignment to an LPN. Discharge instructions involve comprehensive education and assessment of the patient’s understanding, which are responsibilities of the RN. The RN must ensure the patient comprehends the instructions and can safely manage their care at home.
Choice C rationale
A 40-year-old diabetic patient requiring re-teaching on insulin administration is the best choice for assignment to an LPN. This patient is stable and the task of re-teaching insulin administration falls within the LPN’s scope of practice. The LPN can effectively provide education and ensure the patient understands how to administer insulin correctly.
Choice D rationale
A newly admitted patient is not suitable for assignment to an LPN. New admissions require comprehensive assessments and care planning, which are responsibilities of the RN. The RN must evaluate the patient’s condition, develop a care plan, and initiate appropriate interventions.

Choice A rationale
A neurologist is a specialist in diagnosing and treating disorders of the nervous system, including strokes. Collaborating with a neurologist ensures that the client receives timely and accurate diagnostic tests and interventions. Neurologists have the expertise to interpret imaging studies, prescribe appropriate treatments, and manage complications related to strokes.
Choice B rationale
A chaplain provides spiritual support and counseling to patients and their families. While their role is important for emotional and spiritual well-being, they do not have the medical expertise needed to diagnose and treat strokes. Collaborating with a chaplain is beneficial for holistic care but not for ensuring timely diagnostic tests and interventions for a stroke.
Choice C rationale
A respiratory therapist specializes in assessing and treating respiratory conditions. While respiratory therapists play a crucial role in managing breathing difficulties, they are not the primary healthcare professionals for diagnosing and treating strokes. Their expertise is valuable for patients with respiratory issues but not for stroke-specific care.
Choice D rationale
A speech-language pathologist assesses and treats communication and swallowing disorders. They are essential for stroke rehabilitation, especially for patients with speech and swallowing difficulties. However, they are not involved in the initial diagnosis and acute management of strokes. Collaborating with a speech-language pathologist is important for rehabilitation but not for immediate diagnostic tests and interventions.