A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits

The nurse manager should identify which of the following clients as having conditions that require national notification?

Please select all that apply:

Choice A rationale

Wide-angle glaucoma is a type of eye condition that can affect vision, but it is not typically associated with an increased risk of falls.

Choice B rationale

Chronic kidney disease can have many effects on the body, but it is not typically identified as a direct risk factor for falls.

Choice C rationale

Chronic obstructive pulmonary disease (COPD) can cause shortness of breath and fatigue, which could potentially contribute to instability. However, it is not one of the most common conditions associated with an increased risk of falls.

Choice D rationale

Osteoarthritis can cause pain and stiffness in the joints, which can lead to mobility issues and an increased risk of falls. Therefore, a nurse should identify osteoarthritis as a condition that increases a client’s risk for falls.

The correct answers are A. Organize a program to promote skateboard safety and C. Teach a class about the risks of cigarette smoking.

Primary prevention focuses on activities that prevent disease or injury before they occur. This includes education, safety programs, and health promotion efforts to reduce risk factors in the community.

Here’s why these choices align with primary prevention:

• A. Organize a program to promote skateboard safety – Encouraging safe practices and protective equipment use helps prevent injuries before they happen.

• C. Teach a class about the risks of cigarette smoking – Educating students on health risks helps prevent smoking initiation, reducing future complications like lung disease.

The other options represent different levels of prevention:

• B. Lobby for funding for health promotion efforts – While important, lobbying is an advocacy action, not direct prevention. It supports primary prevention efforts but isn't a standalone preventive measure.

• D. Recommend a seating arrangement for a child in a body cast – This falls under tertiary prevention, which focuses on adapting care for existing conditions rather than preventing health issues in the first place.