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

Choice A reason: Raw celery is not recommended for toddlers as it can be a choking hazard due to its stringy texture and difficulty in chewing. Toddlers have smaller airways and less developed chewing skills, making raw celery a risky snack option.

Choice B reason: Grapes can also be a choking hazard for toddlers if not prepared properly. Whole grapes are the perfect size to block a toddler’s airway. If grapes are to be given, they should be cut into small, manageable pieces to reduce the risk of choking.

Choice C reason: Peanut butter is a nutritious option but should be given with caution. It can be sticky and difficult for toddlers to swallow, posing a choking risk. It is best to spread peanut butter thinly on bread or mix it with other foods to make it easier to consume.

Choice D reason: Sliced bananas are an excellent snack for toddlers. They are soft, easy to chew, and unlikely to cause choking. Bananas are also rich in essential nutrients like potassium and vitamins, making them a healthy choice.

Choice A reason: Cardiac glycosides are primarily used to treat heart conditions such as heart failure and atrial fibrillation. They do not typically affect bone density or contribute to osteoporosis.

Choice B reason: Thyroid hormones can increase the risk of osteoporosis, especially if taken in excess. Over-replacement of thyroid hormone can accelerate bone loss, leading to decreased bone density and increased fracture risk.

Choice C reason: Anticoagulants are used to prevent blood clots but are not generally associated with an increased risk of osteoporosis. Their primary side effects are related to bleeding and bruising.

Choice D reason: NSAIDs (nonsteroidal anti-inflammatory drugs) are used to reduce inflammation and pain. They do not typically affect bone density or contribute to osteoporosis.