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.
Contact a social worker to assist the client with managing finances.
Determine which home safety measures the client needs to implement.
Provide the client with information on self-help groups for alcohol use disorder.
The Correct Answer is C
. Home safety measures are a priority for a client with alcohol use disorder and cirrhosis of the liver, as they may have mobility or balance issues that increase their risk of falls or injury. Assessing the client's home environment and identifying any potential hazards is crucial in preventing further injury or harm to the client. Once the home safety measures have been determined, the case manager can then arrange for a home health nurse to visit the client, provide information on self-help groups for alcohol use disorder, and contact a social worker to assist with managing finances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A, "Seizures." Manifestations of alcohol withdrawal can vary depending on the severity of the addiction, the duration and frequency of alcohol consumption, and the presence of other medical conditions. Seizures are a common manifestation of alcohol withdrawal, which can occur within 6 to 48 hours after the last drink. Other manifestations of alcohol withdrawal include tremors, anxiety, sweating, nausea and vomiting, tachycardia, hypertension, and hallucinations. These manifestations can be severe and life-threatening, especially if not managed appropriately. It is essential to monitor clients with alcohol withdrawal closely, administer medications as ordered, and ensure that clients receive appropriate medical care to prevent complications and promote recovery.
Correct Answer is A
Explanation
The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.
Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.
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