The nurse incorporates levels of prevention as based on client needs and the type of nursing care provided. Which one of the following nursing activities is an example of tertiary level preventive caregiving?
a. Teaching a patient how to irrigate a new temporary colostomy
b. Providing a lesson on hygiene for an elementary school class
c. Informing a client that immunizations for her infant are available through the health department
d. Arranging for a hospice nurse to visit with the family of a client with cancer
D
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A Teaching a patient how to irrigate a new colostomy would be an example of secondary prevention. If the colostomy is to be permanent, care may later move to the tertiary level of prevention.
B Providing a lesson on hygiene for an elementary school class would be an example of primary prevention.
C Informing a client about available immunizations would be an example of primary prevention.
D Tertiary prevention occurs when a defect or disability is permanent and irreversible. At this level, the hospice nurse aims to help the client and his or her family to achieve a high level of function, despite the limitations caused by the client's illness.
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