A nurse is assisting with the discharge of a client who is postoperative following a total knee arthroplasty. The client lives alone and does not have any friends or relatives who live close by. Which of the following actions should the nurse plan to take?
Discuss the implications of the client's discharge with the ethics committee.
Call the client's provider and suggest delaying discharge.
Suggest the client consider placement in a long-term care facility.
Recommend a referral for the client to social services.
The Correct Answer is D
A. Consulting the ethics committee is unnecessary at this stage, as there is no ethical dilemma in arranging social support services.
B. Suggesting a discharge delay is premature and may not be feasible; alternative support should be considered first.
C. Long-term care facility placement is a more permanent solution and may not align with the client’s needs or preferences.
D. Recommending a referral to social services is appropriate as social services can help arrange post-discharge support, including home health services or community resources, ensuring a safe transition home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Morphine is classified as a Schedule II controlled substance due to its high potential for abuse and dependence, but it is accepted for medical use.
B. Schedule III substances have a lower potential for abuse than Schedule II, which does not apply to morphine.
C. Schedule I substances are considered to have no accepted medical use and a high potential for abuse, such as heroin, which does not include morphine.
D. Schedule IV substances have a lower abuse potential than Schedule III, making this classification incorrect for morphine.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"}}
Explanation
Rationale
- Client 1: Red tag. This client has a significant loss of blood and a low heart rate, indicating they are in critical condition and need immediate intervention to survive.
- Client 2: Yellow tag. This client has second-degree burns and is in pain, but their condition is stable and not immediately life-threatening.
- Client 3: Black tag. This client is unresponsive with multiple severe burn injuries and Cheyne-Stokes respirations, indicating a very poor prognosis and unlikely survival.
- Client 4: Red tag. This client is experiencing severe chest pain and shortness of breath, which could indicate a life-threatening condition such as a heart attack and requires immediate attention.
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