What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

 

Choice A rationale

Organizing an event to improve the morale of the home health staff is a good practice for maintaining a positive work environment. However, it does not directly provide feedback regarding care quality.

Choice B rationale

Teaching clients’ family members how to care for a wound in the home setting is an important part of a home health nurse’s role. It ensures continuity of care and empowers family members to participate in the care process. However, this activity does not provide direct feedback on care quality.

Choice C rationale

Orienting staff members to a new piece of equipment that will be used in the home setting is crucial for ensuring safe and effective care. However, this activity does not provide direct feedback on care quality.

Choice D rationale

Tracking the number of postoperative clients who are readmitted to the acute care facility is the correct answer. This activity provides direct feedback on the quality of care provided by the home health agency. A high readmission rate may indicate issues with discharge planning, patient education, or follow-up care.

Choice A rationale

Providing a smoking cessation class is an example of secondary prevention. Secondary prevention aims to reduce the impact of a disease or injury that has already occurred. This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress,

encouraging personal strategies to prevent reinjury or recurrence, and implementing programs to return people to their original health and function to prevent long-term problems. In this case, a smoking cessation class can help individuals who are already smoking to quit, thereby preventing further harm from the disease.

Choice B rationale

Referring a client who is recovering from a substance use disorder to a social service program is more aligned with tertiary prevention. Tertiary prevention aims to soften the impact of an ongoing illness or injury that has lasting effects. This is done by helping people manage long- term, often-complex health problems and injuries (e.g. chronic diseases, permanent impairments) in order to improve as much as possible their ability to function, their quality of life and their life expectancy.

Choice C rationale

Encouraging a pregnant client to participate in prenatal care is an example of primary prevention. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.

Choice D rationale

Advocating for laws that prohibit texting while driving is an example of primary prevention. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.