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."

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

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

Answer and Explanation

The Correct Answer is A

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

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Correct Answer is B

Explanation

Choice A reason: This statement is false and discouraging. The caregiver may be eligible for financial assistance for dementia from various sources, such as Medicare, Medicaid, or private insurance.

Choice B reason: This statement is true and supportive. The caregiver may benefit from finding a local support group for caregivers, where they can share their experiences, learn coping strategies, and access resources.

Choice C reason: This statement is unrealistic and harmful. The caregiver should not isolate themselves or their partner from other sources of support. The caregiver may need to delegate some tasks to other family members, friends, or professional caregivers.

Choice D reason: This statement is unreasonable and exhausting. The caregiver should not take over all the activities of daily living (ADLs) for their partner, as this may undermine their partner's autonomy and dignity. The caregiver should encourage their partner to perform ADLs as much as possible, with assistance as needed.

A. The client's arthritis pain has improved. B. The client is sleeping through the night. C. The client's leg wound is healing. D. The client's blood pressure is 132/56 mm Hg. E. None F. None

Correct Answer is C

Explanation

A. Echinacea has anti-inflammatory properties that can help reduce pain and swelling associated with arthritis. Studies have shown that echinacea can be effective in managing inflammatory conditions like arthritis, making this a likely indicator of its effectiveness.

B. While echinacea may have some calming effects, it is not primarily used to treat sleep disorders. Therefore, improved sleep is not a direct indicator of echinacea's effectiveness.

C. Echinacea is known for its immune-boosting properties, which can aid in wound healing. However, this is not its primary use, and other factors could contribute to wound healing.

D. Echinacea does not have a significant impact on blood pressure. Therefore, a change in blood pressure is not an indicator of its effectiveness.

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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 C

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