A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?
Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus
Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic
Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive
Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg
The Correct Answer is D
A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.
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Related Questions
Correct Answer is B
Explanation
A. The trend is actually increasing for older adults wishing to be cared for at home rather than decreasing.
B. There is a growing trend for older adults to seek hospice care to manage symptoms and improve quality of life at the end of life.
C. Despite the increase in hospice care, older adults still frequently die in hospitals due to various factors, but this is gradually changing.
D. Trends show that older adults are spending less time in hospitals and more in home-based or hospice care.
Correct Answer is A
Explanation
A. Telehealth can indeed raise concerns about client confidentiality due to the digital nature of communication, which might be susceptible to breaches or unauthorized access.
B. While telehealth may disadvantage those without access to technology, this is more of a practical issue rather than an ethical concern directly related to the practice itself.
C. Telehealth has the potential to address health inequities by increasing access to care; thus, it is not necessarily true that it will worsen health inequities.
D. The cost of telehealth encounters is a practical concern but does not directly pertain to the ethical issues associated with client care and privacy.
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