A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home V therapy. Which of the following resources should the nurse recommend? (Select all that apply.)

Respite care

Adult day care

Medicare Part A

Medicaid

Food Stamps

Answer and Explanation

Correct Answer : D,E

Rationale:

A. Respite care: Respite care is designed to temporarily relieve caregivers of people with chronic conditions, typically elderly or disabled clients. It is not suitable for a young adult needing home IV therapy unless there is a primary caregiver experiencing burnout, which is not indicated in this scenario.

B. Adult day care: Adult day care services are intended for older adults who need supervision and social interaction during daytime hours. This service is not relevant for a young adult receiving home-based IV therapy, which requires in-home clinical support rather than daytime supervision outside the home.

C. Medicare Part A: Medicare Part A covers hospital stays, skilled nursing, and limited home health services but is generally for individuals over 65 or those with qualifying disabilities. A young adult living in poverty without a qualifying disability would not typically be eligible for this benefit.

D. Medicaid: Medicaid provides comprehensive health coverage for low-income individuals of all ages and is often used to fund home healthcare services, including IV therapy. It is a key resource for ensuring this client receives needed care at home.

E. Food Stamps: The Supplemental Nutrition Assistance Program (SNAP), commonly known as Food Stamps, helps low-income individuals afford adequate nutrition. This support is crucial for clients below the poverty level, especially while recovering and managing ongoing healthcare needs.

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Correct Answer is A

Explanation

Rationale:

A. Identify possible precipitating factors related to the infections: The first step in addressing a quality or safety concern is to assess the situation and collect data. Identifying contributing factors helps guide appropriate interventions and ensures that any subsequent actions are targeted and evidence-based.

B. Meet with providers to discuss measures to decrease the infections: Collaborating with providers is essential for implementing effective solutions, but this step should follow a thorough assessment. Without identifying root causes first, discussions may be unfocused or ineffective in reducing infection rates.

C. Schedule nursing staff training for infection control procedures: Training is a critical part of reducing catheter-associated infections, especially if staff knowledge gaps are discovered. However, education should be informed by a needs assessment and data on what factors are contributing to the infections.

D. Revise the current policy for catheter care: Policy revision may be necessary if current guidelines are outdated or inadequate. However, revising policy prematurely, without understanding the source of the problem, may lead to unnecessary or ineffective changes.

A. Diplopia B. Esophagitis C. Bradykinesia D. Fever

Correct Answer is D

Explanation

Rationale:

A. Diplopia: Double vision (diplopia) is not a typical symptom of systemic lupus erythematosus (SLE). It is more commonly associated with neurologic or ocular conditions like multiple sclerosis or cranial nerve palsy.

B. Esophagitis: Esophagitis is not a hallmark manifestation of SLE. While SLE can affect any organ system, gastrointestinal involvement is less common and typically secondary to medications rather than the disease itself.

C. Bradykinesia: Bradykinesia is characterized by slowed movements and is commonly associated with Parkinson’s disease, not with SLE.

D. Fever: Fever is a common finding during acute exacerbations of SLE. It results from systemic inflammation and immune activation, which are characteristic of disease flare-ups.

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A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home V therapy. Which of the following resources should the nurse recommend? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is providing care for a client who is experiencing an acute exacerbation of systemic lupus erythematosus. Which of the following findings should the nurse anticipate?

Correct Answer is D

Explanation

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