A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis.
Which of the following assessments should the nurse identify as the priority?
Determine whether the client is eligible to go to a skilled nursing facility.
Evaluate the client's home environment.
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Ask whether the client's insurance will cover home health services.
The Correct Answer is B
Evaluating the client’s home environment is the priority assessment for the case manager to perform. This will help determine if the client’s home is safe and accessible for them with their new prosthesis.
Choice A is not the correct answer because determining whether the client is eligible to go to a skilled nursing facility is important but not the priority.
Choice C is not the correct answer because collaborating with a prosthetist to teach the client about care of the prosthesis is important but not the priority.
Choice D is not the correct answer because asking whether the client’s insurance will cover home health services is important but not the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
The correct answers are choices A, B, and C.
Choice A rationale:
Maintaining the head of the client’s bed in an elevated position after eating can help reduce nausea by preventing gastric reflux and promoting better digestion.This position helps keep stomach contents from moving back up into the esophagus, which can trigger nausea.
Choice B rationale:
Assisting the client in using guided imagery is a beneficial non-pharmacological intervention for managing chemotherapy-induced nausea.Guided imagery involves using mental visualization techniques to create calming and positive images, which can help distract the mind from nausea and reduce its intensity.
Choice C rationale:
Providing sips of room-temperature ginger ale between meals can help alleviate nausea. Ginger has natural antiemetic properties that can help soothe the stomach and reduce nausea.Room-temperature liquids are often easier to tolerate than cold or hot beverages.
Choice D rationale:
Using seasonings to enhance the flavor of foods is not typically recommended for clients experiencing chemotherapy-induced nausea. Strong flavors and smells can sometimes exacerbate nausea rather than alleviate it.Bland, easy-to-digest foods are usually better tolerated.
Correct Answer is A
Explanation
In a suspected or confirmed bioterrorism event, the nurse should don personal protective equipment to protect themselves from potential exposure 1.
Choice B is incorrect because disinfecting contaminated areas of skin with isopropyl alcohol may not be sufficient to protect against a bioterrorism-related illness.
Choice C is incorrect because while reporting the client’s condition to the appropriate authorities is important, the Federal Bureau of Investigation may not be the appropriate agency to report to in this situation.
The nurse should report the client’s condition to local and state health departments 1.
Choice D is incorrect because while moving the client to a quarantine area may be necessary in some situations, it is not necessarily the first action that should be taken.
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