Author Question: The nurse is discharging a client who was hospitalized for a cerebral vascular accident (CVA). The ... (Read 22 times)

hbsimmons88 · **on:** Jun 25, 2018

The nurse is discharging a client who was hospitalized for a cerebral vascular accident (CVA). The client will be cared for at home by family members.

Which statement made by the family indicates understanding of the client's primary prevention needs after discharge?
1. She will need instruction on using her walker.
2. She will need to have her flu shot this year.
3. She must take her blood pressure medications regularly.
4. She needs to have her cholesterol checked every 2 months.

Question 2

A couple seeks genetic counseling as both have a positive family history of sickle cell anemia, and are concerned about the potential of having a child with this disease.

Which statement indicates that the couple wishes to participate in primary prevention?
1. We need to both be treated for sickle cell anemia before we can have a baby.
2. We will have blood tests to determine if we are carriers.
3. We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease.
4. Neither one of us has sickle cell disease, so any baby we have will be safe from the disease as well.

CourtneyCNorton · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

Having a flu shot is a primary prevention strategy. Taking blood pressure medication is secondary prevention since the treatment is aimed at maintaining normal blood pressure and preventing complications from the condition. Having a cholesterol screening is also an example of secondary prevention. Tertiary prevention involves strategies for rehabilitation, such as using a walker to aid ambulation.

Answer to Question 2

Correct Answer: 3
Primary prevention implies health and a high level of wellness for the individual. Seeking out a genetics counselor is considered primary prevention. Indicating a need for treatment would be considered secondary or tertiary prevention. Both individuals being tested for carrier status would be considered secondary prevention, as it deals with early diagnosis of health problems. Stating that neither has the disease, thus a child would not inherit the disease, indicates no level of prevention.