A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager. To deselect a finding, click on the finding again.
Exhibit 1 Nurses' Notes 1315:
Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment
Plan of Care
1300:
Case management referral for discharge planning.
Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.
Client reports being unable to find transportation to follow-up appointment
Client expresses concern regarding the cost of prescription medications
The Correct Answer is ["A"]
The nurse should always be aware of his or her role as the client's advocate. This includes notifying the provider or nurse manager of ant concerns that may interfere with management. This enables the client to get the necessary help and hence improving the chance of health restoration.
Client reporting being unable to find transportation to follow-up appointment is a potential barrier to the client's ability to adhere to their postoperative care plan, specifically their follow-up appointment. Lack of transportation may result in the client missing important postoperative evaluations and assessments, which could impact their recovery and overall outcome.
Client expresses concern regarding the cost of prescription medications does not require immediate follow-up by the case manager unless there are specific interventions or resources the case manager can provide to address the client's concerns.
Case management referral for discharge planning, home health referral for dressing changes, and client to follow up with the provider at the clinic in 1 week-These components of the plan of care have already been initiated or established and do not require further immediate follow-up by the case manager. They represent ongoing aspects of postoperative care management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Total Parenteral Nutrition (TPN) IV tubing should be changed every 24 hours due to the high risk of infection associated with TPN. Changing it every 48 hours is not recommended and could lead to increased patient risk.
B. Total parenteral nutrition solution bags should be changed every 12 to 24 hrs depending on the constituents
C. Peripheral IV solution bags should be replaced every 24 hrs.
D The Infusion Nurses Society (INS) Standards of Practice recommend changing peripheral IV primary tubing every 96 hours. This is considered a cost-effective practice as it reduces the frequency of changing the tubing, thus saving resources, without compromising patient safety.
Correct Answer is C
Explanation
Information on the last dos of analgesics is key in ensuring optimal pain control while avoiding any incidence of drug overdose.
D. Information on steps of wound care is important but not relevant as the nurses on the facility are expected to be well versed with the steps as part of their scope of practice.
A and B is not relevant information during change of shift.
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