A case manager is participating in the care of a client.
The case manager is planning the client's discharge. Which of the following interventions should the nurse include in the client's discharge plan?
Select the 6 interventions the nurse should include in the client's discharge plan.
Recommend use of a safety alert device when home alone.
Collaborate with physical therapy to assess client needs.
Facilitate obtaining assistive devices for home setting.
Collaborate with client and family to implement fall prevention plan.
Perform a home hazard assessment.
Educate client about the effect their medications have on their balance.
Place no smoking signs in client's home.
Correct Answer : A,B,C,D,E,F
A. Recommend use of a safety alert device when home alone: Implementing a safety alert device is crucial for the client living alone, as it provides a means to call for help in case of a fall or other emergencies. This enhances the client's safety and ensures timely assistance if needed.
B. Collaborate with physical therapy to assess client needs: Involving physical therapy is essential for evaluating the client's mobility and determining appropriate interventions for safe transition to home. Physical therapists can provide guidance on using a walker and suggest exercises to improve strength and balance.
C. Facilitate obtaining assistive devices for home setting: Ensuring that the client has the necessary assistive devices, such as a walker or grab bars, is important for promoting safety and independence in the home environment. This helps reduce the risk of future falls.
D. Collaborate with client and family to implement fall prevention plan: Working with the client and their adult child to develop a comprehensive fall prevention plan addresses the client's history of falls. This plan can include education on safe movement, environmental modifications, and strategies to prevent future falls.
E. Perform a home hazard assessment: Conducting a home hazard assessment is critical for identifying potential risks that could lead to falls or injuries. This assessment allows for targeted interventions to modify the home environment, enhancing safety for the client.
F. Educate client about the effect their medications have on their balance: Understanding the potential side effects of medications, such as metoprolol, on balance and coordination is important for the client. This knowledge can empower them to take precautions and report any concerning symptoms to their healthcare provider.
G. Place no smoking signs in client's home: While promoting a smoke-free environment is beneficial, it is not directly related to the client’s current health concerns regarding falls and recovery from a hip fracture. Therefore, this intervention is less relevant to the discharge planning process in this context.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. High-risk individuals should receive immunoglobulin E (IgE): High-risk individuals do not receive immunoglobulin E for botulism. The treatment for botulism involves the use of antitoxin to neutralize the toxin, along with supportive care to manage symptoms.
B. Implement airborne precautions for clients who have botulism: Airborne precautions are not required for botulism because it is not transmitted through the air. Botulism is primarily contracted through ingestion of contaminated food or wound contamination, so standard precautions are generally sufficient.
C. Administer an aminoglycoside medication: Aminoglycosides are not indicated for treating botulism. The mainstay of treatment includes administering botulinum antitoxin and providing supportive care. Antibiotics may be necessary for any secondary infections but are not the primary treatment for botulism itself.
D. Rinse skin with soap and water following exposure to the botulism toxin: Rinsing the skin with soap and water after exposure to the botulism toxin is an appropriate action. This practice helps eliminate the toxin from the skin, reducing the risk of absorption and potential harm.
Correct Answer is C
Explanation
A. Check the newborn's identification bracelet with the chart: While checking the identification bracelet is important for ensuring the correct identification of the newborn, the request from the grandparent should not be fulfilled without proper identification. It is crucial to prioritize safety and adherence to protocols regarding the newborn's discharge.
B. Obtain permission from the newborn's guardian: Obtaining permission from the newborn's guardian is a necessary step, but the lack of identification from the grandparent still prevents the nurse from allowing the grandparent to take the newborn. The guardian's consent cannot override the identification protocols.
C. Respectfully deny the grandparent's request: Denying the request is the appropriate action in this situation. The nurse must ensure that the newborn is not released to anyone who does not have proper identification, as this is critical for the safety and security of the infant.
D. Review the newborn's footprint record: While reviewing the footprint record can help verify the newborn's identity, it does not address the immediate issue of the grandparent not having an identification bracelet. The nurse's priority should be ensuring that the newborn is only released to authorized individuals with proper identification.
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