A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.
Identifying several local smoking cessation support groups.
Giving an influenza vaccination in early autumn of each year.
Suggesting the patient attend "Cooking to Manage Hypertension" classes taught by a registered dietician
Providing the patient with a take-home occult stool screening kit
Giving a pneumococcal vaccination to celebrate the patients 65th birthday.
Correct Answer : A,B,C,E
A. This option is relevant to primary disease prevention because it aims to prevent smoking-related diseases before they occur. By providing information about smoking cessation support groups, the nurse helps the patient reduce or eliminate a major risk factor for many serious diseases, including cancer and cardiovascular disease. This aligns with the goals of primary prevention.
B.A This option is a form of primary disease prevention. The influenza vaccination helps prevent the flu before it starts, thus reducing the risk of illness and its complications. Vaccinations are a classic example of primary prevention, as they protect against diseases before they occur.
C. This option also aligns with primary disease prevention. Teaching the patient about dietary changes to manage hypertension can help prevent the development of hypertension-related complications such as heart disease or stroke. By addressing dietary habits before hypertension develops, this intervention supports primary prevention.
D. This option is not primarily a primary prevention measure. Occult stool screening kits are used for early detection of colorectal cancer, which is more about secondary prevention. Secondary prevention focuses on early detection and intervention to reduce the impact of a disease once it has already developed but before symptoms appear.
E. This option represents primary disease prevention. The pneumococcal vaccine helps prevent pneumonia and other serious infections caused by pneumococcal bacteria. Vaccination, especially in older adults, is an effective method to prevent illness before it occurs, fitting the primary prevention category.
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Related Questions
Correct Answer is C
Explanation
A. This question is specific to a potential complication of diabetes, but it does not directly assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
B. This question is about a specific laboratory result, but it does not assess the patient's understanding of the importance of self-monitoring blood glucose levels.
C. This question assesses the patient's understanding of the importance of self-monitoring blood glucose levels, which is crucial for managing diabetes. By understanding the reasons behind this intervention, the patient is more likely to comply with the treatment plan and make informed decisions about their health.
D. This question is about the logistics of medication management, but it does not assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
Correct Answer is A
Explanation
A. When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B. While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C. This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D. While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.
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