Ms. Leonard is a 72 year-old woman with chronic bronchitis who is a former cigarette smoker. C. Obtaining spirometry measurement D. Periodic sigmoidoscopy Ms. Giordano is a 68 year-old woman with hypertension who resides alone in a private home. The correct response in Ms. Leonard s scenario is B. Influenza vaccine is the only activity that is aimed at disease prevention. Medication teaching and assessment of pulmonary function are part of treating her established disease. Periodic sigmoidoscopy is an example of secondary prevention as it is a screening test for colorectal cancer.
Pneumococcal vaccine is an example of primary prevention as is education to minimize falls.
The presence of S4 heard sound, indicative of diastolic dysfunction and frequently found in the presence of protracted blood pressure elevation, is part of the ongoing evaluation of the person with established hypertension. The goal of treating a person with hypertension is not simply to achieve normotensive status. Whether preparing for NP certification or practice, keep in mind the patient s primary, secondary as well as tertiary prevention needs. These concepts help prioritize and guide care. This article originally appeared in my quarterly certification column in Advance for Nurse Practitioners and is made available here by the courtesy of Advance.