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.
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Related Questions
Correct Answer is B
Explanation
As the healthcare surrogate, the partner is legally allowed to make decisions on behalf of the client. A healthcare surrogate is an individual upon whom the legal mandate is given to make healthcare decisions on behalf of the client in the event where the client lacks capacity to do so.
A. No further review of the advanced directives is necessary if the surrogate is known
C and D. If clearly stated, no further review by the facility committee or provider is needed as they undermine the role of the surrogate.
Correct Answer is B
Explanation
Airborne infections are transmitted through small droplets that remain suspended in the air and, therefore, a surgical mask is necessary when the infected client is leaving their isolation spaces.
A. Contact precautions are implemented for clients with infections that are spread through direct contact between persons or the environment.
C. Droplet precautions are utilized for clients who have infections spread through large droplets. They include wearing a surgical mask.
D. A client who has compromised immunity is susceptible to infection from infectious individuals and, therefore, needs to be isolated in a room with positive pressure airflow to prevent entry of organisms
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