After a coronary artery bypass graft, a client is discharged home with a referral for home health care and cardiac rehabilitation. Which assessment should the nurse obtain for this client's tertiary prevention?
Symptoms of exacerbation or progression of the underlying cardiac disease.
Family history of cardiac disease and current compliance with medical regimen.
Status of the client's incisions and indicators of postoperative complications.
The client's tolerance for exercise progression and psychosocial adaptation.
The Correct Answer is D
Choice A reason: Monitoring for disease progression is important but falls under secondary prevention. Tertiary prevention focuses on rehabilitation and optimizing function after disease onset.
Choice B reason: Family history is relevant for risk assessment and primary prevention. Compliance with the medical regimen is important but does not fully address the rehabilitative goals of tertiary care.
Choice C reason: Postoperative wound assessment is part of acute care and early recovery, not long-term rehabilitation. It is more aligned with secondary prevention.
Choice D reason: Evaluating exercise tolerance and psychosocial adaptation supports recovery and reintegration into daily life. These are key components of tertiary prevention, aimed at minimizing disability and improving quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: An A1C of 9.1% is significantly above the target range and indicates poor glycemic control. Congratulating the client would be inappropriate and misleading, potentially undermining the seriousness of the situation.
Choice B reason: While the value should be communicated to the healthcare provider, immediate reporting is not typically required unless the client is symptomatic or experiencing complications. The nurse’s role includes assessment and education before escalation.
Choice C reason: Asking the client why their A1C is out of control may come across as accusatory and lacks therapeutic communication. It does not foster collaboration or support behavior change. The nurse should use motivational interviewing and assessment techniques instead.
Choice D reason: Exploring the diabetes self-care regimen allows the nurse to identify gaps in medication adherence, dietary habits, physical activity, and glucose monitoring. This approach supports patient-centered care and enables tailored interventions to improve glycemic control.
Correct Answer is A
Explanation
Choice A reason: Healthy People 2030 is a national initiative focused on improving health outcomes across the lifespan. One of its core goals is to enhance the health and well-being of individuals and communities through evidence-based strategies and public health interventions.
Choice B reason: Organizational health and safety concerns may be addressed indirectly, but they are not a primary focus of Healthy People 2030. The initiative targets population-level health, not internal organizational priorities.
Choice C reason: Staff turnover is a human resources issue and not a goal of Healthy People 2030. The initiative does not focus on employment metrics or workforce retention.
Choice D reason: While workplace dignity is important, Healthy People 2030 does not specifically address professional respect for nurses. Its goals are broader and population-centered.
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