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Zorluk: OrtaHealth Promotion and Disease Prevention

During a home wellness visit, a nurse is updating the care plan for a 68-year-old client with a history of bilateral knee osteoarthritis. The nurse is focusing on integrating disease prevention principles into the client's daily routine. Which of the following nursing actions correctly demonstrates a primary prevention strategy?

  1. Administering the recombinant zoster vaccine according to the adult immunization scheduleCevap
  2. B
    Scheduling the client for an annual fecal immunochemical test (FIT) to screen for colorectal cancer
  3. C
    Teaching the client how to properly apply warm compresses to minimize knee joint stiffness before activities
  4. D
    Advising the client that their recent onset of urinary incontinence is a normal consequence of aging that can be managed by restricting fluids

Cevap

Administering the recombinant zoster vaccine according to the adult immunization schedule
Primary prevention aims to prevent a disease or injury before it ever occurs by averting exposures to hazards or enhancing immunity. Administering the recombinant zoster vaccine directly provides active immunity against the varicella-zoster virus, preventing the onset of herpes zoster (shingles). This is a definitive and classic example of a primary prevention strategy.

Adım Adım Çözüm

1
Define the three levels of disease prevention.
Primary prevention prevents disease occurrence. Secondary prevention focuses on early detection (screening). Tertiary prevention focuses on managing existing diseases to prevent further complications.
Establishing accurate definitions is necessary to properly classify each nursing intervention.
2
Evaluate the vaccination intervention.
Administering a vaccine prevents a viral infection from occurring in a susceptible host.
This aligns perfectly with the definition of primary prevention.
3
Evaluate the screening and symptom management interventions.
The FIT test is a screening tool (secondary prevention), and teaching about warm compresses manages an existing condition (tertiary prevention).
These interventions represent different levels of prevention and are therefore incorrect for the prompt's specific question.
4
Evaluate the teaching regarding urinary incontinence.
Urinary incontinence is a sign of underlying pathology, not normal aging.
This identifies a common clinical misconception regarding the aging process.

Anahtar Kavram

Levels of Disease Prevention
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Konular

Health Promotion and Disease Prevention

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