A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg. client sitting up in a chair." Which of the following information should the nurse clarify?

A. Quality improvement focuses on the processes and systems within healthcare that enhance patient outcomes and improve care delivery. While the nurse's actions contribute to overall quality of care, this specific scenario does not directly relate to improving a process or system.
B. The nurse is demonstrating the competency of safety by ensuring the client’s bed is locked (preventing falls) and the call light is within reach (allowing the client to request help easily). These actions directly enhance the client's safety and prevent potential harm.
C. Teamwork and collaboration involve working effectively with other healthcare professionals to provide optimal care. While collaboration is essential in nursing, the actions described do not specifically pertain to working with other team members.
D. Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. While ensuring the call light is within reach aligns with the principles of patient-centered care, the primary focus of the nurse’s actions is on safety.

A. This reflects primary care. Teaching clients about exercise is aimed at promoting health and preventing disease, which is a fundamental aspect of primary healthcare.
B. This also pertains to secondary care. Regular exams are important for early detection of health issues, helping to catch problems before they become more serious. This activity does not reflect tertiary care.
C. This activity is related to secondary care. A mammogram is a screening tool used for early detection of breast cancer. Assisting with this procedure does not represent tertiary care, as it focuses on prevention and early diagnosis rather than treatment of an established condition.
D. This is another example of primary care. Educating clients about safe habits is aimed at promoting health and preventing injury or illness, which aligns with primary prevention efforts.
E. This is the correct choice and reflects tertiary care. Transplant surgery is a complex procedure that involves specialized medical intervention for individuals with severe health conditions. It is focused on treatment after a disease has progressed, which is characteristic of tertiary care.