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.
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Aerobic exercise should not be avoided in osteoarthritis; in fact, it is recommended as it can help improve pain and function in knee and hip osteoarthritis.
Choice B reason: There is no evidence to support the use of ginkgo supplements for osteoarthritis, and they are not recommended as part of the management for this condition.
Choice C reason: Using lowered toilet seats can be beneficial for individuals with osteoarthritis, especially those with knee or hip involvement, as it can reduce the strain on the joints when sitting down and standing up.
Choice D reason: Applying warmth to joints before physical activity can help reduce stiffness and pain, making it easier to perform exercises and daily activities. It is a recommended practice for managing symptoms of osteoarthritis.
Correct Answer is ["A","C","E","F"]
Explanation
Choice A - Hearing Findings: Elevated lead levels can affect the auditory system, leading to hearing problems which can be a long-term complication.
Choice B - Eating History: While the child's picky eating behavior was noted, it is not a direct long-term complication of elevated lead levels.
Choice C - Behavior Findings: Lead exposure can result in behavioral issues, including hyperactivity and aggression, which are potential long-term complications.
Choice D - Vital Signs: The vital signs provided do not indicate long-term complications related to lead exposure.
Choice E - Speech History: Developmental delays, including speech delays, can be a long-term complication of elevated lead levels.
Choice F - Attention Findings: Lead exposure can lead to attention-related issues, such as attention deficit hyperactivity disorder (ADHD), which is a long-term complication.
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