A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

"Describe the place where you are currently living."

"Apply moisture barrier ointment three times a day."

"Eat a balanced diet with high-protein snacks."

"A social worker can help you with the cost of supplies."

Answer and Explanation

The Correct Answer is A

A. Understanding the client's current living situation is crucial for planning appropriate discharge arrangements.
B. Moisture barrier ointment is important but secondary to understanding the living environment.
C. Nutrition advice is relevant but not as immediate as assessing the client's current housing situation.
D. Social support is important but should follow assessment of living conditions.

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Correct Answer is A

Explanation

A. The client has declined additional life-prolonging treatments: Hospice care is appropriate for clients who have decided to forego aggressive treatments aimed at curing their illness and instead focus on comfort care and symptom management.

B. The client requires inpatient care due to lack of a caregiver: While hospice care can be provided in various settings, including inpatient facilities, the lack of a caregiver alone does not qualify a client for hospice care.

C. The client has documentation stating he has less than 12 months to live: Hospice care is typically provided to clients with a life expectancy of 6 months or less, as certified by a healthcare provider. The 12-month timeframe is incorrect.

D. The client's insurance provides coverage for palliative care: While insurance coverage is important, it is not a qualifying criterion. Hospice care focuses on palliative care, but the client's decision to stop life-prolonging treatments is the primary qualification.

A. Chronic obstructive pulmonary disease B. Chronic kidney disease C. Wide-angle glaucoma D. Osteoarthritis

Correct Answer is D

Explanation

A. Chronic obstructive pulmonary disease affects breathing but does not directly increase fall risk.
B. Chronic kidney disease can lead to fluid and electrolyte imbalances but does not directly increase fall risk.
C. Wide-angle glaucoma affects vision but does not necessarily increase fall risk.
D. Osteoarthritis can affect joint stability and mobility, increasing the risk of falls due to impaired balance and coordination.

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A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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