A nurse refers a client to a specialist for further evaluation. What level of prevention is this?

Choice A rationale
Disease surveillance is not a level of prevention. It is an activity that can be part of different levels of prevention.
Choice B rationale
Tertiary prevention involves managing and rehabilitating patients with established diseases. Disease surveillance does not fit this category.
Choice C rationale
Primary prevention aims to prevent the onset of disease. Disease surveillance is not primary prevention.

Choice D rationale
Secondary prevention involves early detection and treatment of disease. Disease surveillance fits this category as it aims to monitor and identify health issues early.

Choice A rationale
Ignoring the comment and documenting “No Known Allergies” (NKA) is incorrect because it disregards the client’s report of an allergy. This action could lead to potential harm if the client is indeed allergic to codeine.
Choice B rationale
Asking the client why they think it is an allergy is not the best response. It may come across as dismissive and does not provide the nurse with specific information about the client’s allergic reaction.
Choice C rationale
Telling the client not to worry and that they will be okay if they take codeine with food is incorrect. This response is dismissive of the client’s concern and does not address the potential for an allergic reaction.
Choice D rationale
Asking the client what symptoms they experience with codeine is the best response. It allows the nurse to gather specific information about the client’s allergic reaction, which is crucial for safe medication administration.