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 B

Explanation

A. Collecting all data on the first visit may not allow for a thorough understanding of the clients' culture.
B. Interviewing community leaders provides valuable insights into the community's cultural norms and beliefs.
C. Seeking assistance from local spiritual leaders can be helpful but is more related to addressing language barriers.
D. Incorporating implicit bias should be avoided to ensure culturally sensitive care delivery.

A. Client statement about "bites" B. Client report of myalgia C. Temperature D. Lymph node assessment E. Travel history

Correct Answer is ["A","D","E"]

Explanation

A. Flea bites are a common way the plague is transmitted, particularly in areas where the disease is endemic. The client's description of flea bites supports this mode of transmission.
B. While myalgia (muscle pain) can occur in many infectious diseases, it is a nonspecific symptom and does not specifically indicate the plague. Many other conditions can also present with muscle aches, so this symptom alone is not indicative of the plague.
C. A fever is common in many types of infections and is not specific to the plague. The presence of a fever alone does not distinguish the plague from other infectious diseases. It must be considered along with more specific symptoms and history.
D. Tender, inguinal lymphadenitis (swollen and painful lymph nodes) is a characteristic sign of bubonic plague, indicating infection and inflammation.
E. Recent travel to South Asia, where the plague is more prevalent, increases the likelihood of exposure to the pathogen. This travel history is a significant risk factor for infection.

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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

A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?

Correct Answer is B

Explanation

A nurse in a public health department is caring for a client. Exhibits Which of the following data in the client's medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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