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?
"A social worker can help you with the cost of supplies."
"Apply moisture barrier ointment three times a day."
"Eat a balanced diet with high-protein snacks."
"Describe the place where you are currently living
The Correct Answer is D
A. "A social worker can help you with the cost of supplies."
While assistance with the cost of supplies is important, understanding the living situation is crucial for determining the specific needs related to the special bed.
B. "Apply moisture barrier ointment three times a day."
Wound care instructions are important, but the client's living environment should be assessed first to ensure that the necessary conditions for proper care can be met.
C. "Eat a balanced diet with high-protein snacks."
Nutrition is an essential aspect of wound healing, but assessing the living situation takes precedence in the context of discharge planning.
D. "Describe the place where you are currently living"
This question is important to assess the client's living environment, as it will help in planning for the necessary accommodations and arrangements to prevent further pressure injuries.
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Related Questions
Correct Answer is D
Explanation
A. Notify spiritual support personnel about a client who requests a visit.
While spiritual support is essential for some patients, it is not the priority in this situation where the focus is on physical and functional recovery after hip arthroplasty.
B. Ask social services to inform a client about community support organizations.
Community support organizations are valuable, but the immediate concern for a post-hip arthroplasty patient is more about the physical and rehabilitation aspects.
C. Request a dietitian consult for a client who asks for information about a vegan diet.
Dietary concerns are important, but in the context of post-hip arthroplasty, the primary focus is on activity restrictions and rehabilitation.
D. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
This is the priority action. After a hip arthroplasty, restrictions on certain activities and the need for rehabilitation and physical therapy are crucial for the patient's recovery and prevention of complications.
Correct Answer is C
Explanation
A. Herpes simplex virus.
Explanation: While Herpes simplex virus (HSV) is a common viral infection, reporting requirements may vary. In many regions, it is not necessarily a reportable infection to the health department.
B. Human papillomavirus (HPV).
Explanation: Similar to HSV, reporting requirements for Human papillomavirus (HPV) may vary. In many cases, HPV is not a reportable infection to the health department.
C. Chlamydia.
Explanation: Chlamydia is a sexually transmitted infection (STI) that is reportable to public health authorities. Reporting cases of Chlamydia to the state health department is important for monitoring and controlling the spread of the infection. This helps in implementing public health interventions and preventive measures.
D. Group B streptococcus β-hemolytic.
Explanation: Group B streptococcus (GBS) is commonly associated with infections in newborns. Reporting requirements for GBS infections may also vary, but in many cases, GBS infections in adults are not routinely reportable to the health department. However, GBS screening during pregnancy and reporting of positive results for preventive measures in newborns might be in place.
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