. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
The client needs to have someone come in to help her bathe at home.
The client needs to have someone bring oxygen tanks and equipment to her home.
The client needs to arrange financial resources to purchase equipment.
The client needs to have range-of-motion exercises to assist with ambulation.
The Correct Answer is C
A. While the need for assistance with bathing may indicate the need for home health services, it is not specifically a reason to involve a social worker.
B. Arranging for oxygen tanks and equipment typically involves nursing and respiratory therapy rather than social work.
C. The need to arrange financial resources for purchasing equipment indicates a financial or logistical concern that is within the social worker's scope of practice to address, making this the most appropriate reason for the referral.
D. Range-of-motion exercises pertain more to physical therapy and nursing care, not social work.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Leaving the purse in a drawer of the bedside table is not secure and does not address the client's concern about theft.
B. Placing the purse in the clothing bag does not provide adequate security and may not alleviate the client's anxiety about theft.
C. Offering to place the purse in the facility safe ensures the security of the client's belongings and addresses her concern effectively.
D. While storing the purse at the nurses' station may seem secure, it is less formal than using the facility safe, which is designed specifically for safeguarding valuable items.
Correct Answer is C
Explanation
A. The presence of jugular vein distention indicates fluid overload and is a sign of worsening heart failure, which would not suggest a successful initiative.
B. An increased weight of 2.27 kg (5 lb) in one week is indicative of fluid retention, a common sign of heart failure exacerbation, suggesting the initiative is not effective.
C. Decreased brain natriuretic peptide (BNP) levels indicate improved cardiac function and a reduction in heart failure symptoms, reflecting the success of the quality improvement initiative aimed at reducing hospital readmissions.
D. The development of S3 heart sounds is often associated with heart failure and fluid overload, indicating a worsening condition rather than improvement.
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