A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?

Arrange for a home health nurse to visit the client following discharge.

Provide the client with information on self-help groups for alcohol use disorder.

Contact a social worker to assist the client with managing finances.

Determine which home safety measures the client needs to implement.

Answer and Explanation

The Correct Answer is A

Choice A reason: Arranging for a home health nurse is often the first step in discharge planning for a client with complex needs such as alcohol use disorder and cirrhosis, to ensure continuity of care and support the client's transition from hospital to home.

Choice B reason: While providing information on self-help groups is important, it is not typically the first action taken during discharge planning.

Choice C reason: Contacting a social worker is an important part of discharge planning, but it usually follows the arrangement of immediate post-discharge medical care.

Choice D reason: Determining home safety measures is crucial, but it generally comes after arranging for necessary medical follow-up care.

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Correct Answer is B

Explanation

Choice A reason: Furosemide is a loop diuretic that can lower potassium levels, so an increase in potassium is not an

expected outcome.

Choice B reason: Relief of dyspnea is a primary goal of furosemide administration in heart failure, as it reduces fluid overload and pulmonary congestion.

Choice C reason: A stable weight might indicate that fluid retention has not worsened, but it does not necessarily reflect the effectiveness of furosemide in reducing fluid overload.

Choice D reason: Decreased hunger is not a direct indicator of furosemide effectiveness and could be related to other factors.

A. Report of rash and fever among over half the attendees at a recent college sports event B. Report of four cases of tuberculosis among inmates residing at a correctional facility C. Report of five cases of Fifth disease among preschoolers at a local day care facility D. Report of increased national incidences of pertussis following decreased immunization rates

Correct Answer is A

Explanation

Choice A reason: A sudden outbreak of illness with symptoms like rash and fever among a large group of people in a specific location could indicate a bioterrorism event.

Choice B reason: Tuberculosis is a known infectious disease that can occur in places with close living quarters, like correctional facilities, and is not typically associated with bioterrorism.

Choice C reason: Fifth disease is a common viral illness in children and is not considered an indicator of bioterrorism.

Choice D reason: A national increase in pertussis cases is likely related to decreased immunization rates rather than

bioterrorism.

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A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client who has end-stage heart failure. Which of the following findings is an indication that the furosemide has been effective?

Correct Answer is B

Explanation

A nurse is developing a surveillance guide to assist with monitoring for bioterrorist attacks. Which of the following situations should the nurse include as an indication of possible bioterrorism?

Correct Answer is A

Explanation

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