Which of the following nursing activities is an example of tertiary level caregiving?
1. Teaching a client how to irrigate a new colostomy
2. Providing a class on hygiene for an elementary school class
3. Informing a client that her infant can be immunized at the health department
4. Arranging for a hospice nurse to visit with the family of a client with lung cancer
ANS: 4
Tertiary prevention occurs when a defect or disability is permanent and irreversible. Care of the hospice nurse at this level aims to help the client and the client's family achieve as high a level of functioning as possible despite the limitations caused by the cancer.
Teaching a client 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.
Providing a class on hygiene for an elementary school class would be an example of the primary level of prevention.
Informing a client about available immunizations would be an example of primary prevention.
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