A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?
Plan to assign a different nurse to the client each shift.
Start discharge planning on the day of admission.
Request that the client complete a satisfaction survey at discharge.
Limit the number of interdisciplinary team members managing the client's care.
The Correct Answer is B
A. Plan to assign a different nurse to the client each shift. Assigning different nurses each shift disrupts continuity of care. Whenever possible, consistent nursing assignments improve client outcomes.
B. Start discharge planning on the day of admission. Discharge planning should begin upon admission to ensure a smooth transition of care, reduce hospital readmissions, and promote better long-term outcomes.
C. Request that the client complete a satisfaction survey at discharge. While client feedback is valuable, it does not directly contribute to continuity of care during the hospital stay.
D. Limit the number of interdisciplinary team members managing the client's care. Interdisciplinary collaboration (e.g., physicians, nurses, physical therapists, social workers) is crucial in providing comprehensive and continuous care, especially for complex cases.
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Related Questions
Correct Answer is D
Explanation
A. "Previous caregiver experience." Experience may reduce stress by helping the caregiver develop coping strategies.
B. "25 to 50 years of age." Age alone is not a significant risk factor for caregiver burden.
C. "Lives in a different dwelling than the client." Caregivers living separately may experience less strain than those providing full-time, in-home care.
D. "Providing care for greater than 1 year." Long-term caregiving is associated with burnout, stress, and physical health issues, increasing the caregiver's risk of anxiety, depression, and chronic illness.
Correct Answer is ["A","B","C","D"]
Explanation
A. Stop the transfusion. The first action is to stop the transfusion to prevent further fluid overload.
B. Place the client in high-Fowler's position. This position reduces venous return to the heart and improves breathing and oxygenation.
C. Obtain a prescription for a diuretic. Diuretics (e.g., furosemide) help remove excess fluid, relieving pulmonary congestion and reducing strain on the heart.
D. Administer oxygen to the client. Oxygen helps relieve hypoxia caused by fluid buildup in the lungs.
E. Administer epinephrine to the client. Epinephrine is used for anaphylactic reactions, not circulatory overload. There is no indication of an allergic reaction in this scenario.
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