A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?

Suggest participating in a community support group.

Set up appointments for in-home physical therapy.

Request a referral for a home safety assessment.

Provide printed materials for new prescriptions.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Suggesting participation in a community support group is beneficial for emotional support and disease management, but it is not the immediate priority for safety and health maintenance at home.

B. Setting up in-home physical therapy can support mobility and exercise tolerance but is secondary to ensuring the client’s environment is safe for daily living with COPD.

C. Requesting a referral for a home safety assessment is the priority because the client lives alone and has a new chronic respiratory condition. COPD can cause fatigue, shortness of breath, and limited mobility, increasing the risk of falls or injury at home. Ensuring a safe environment addresses immediate safety and prevents adverse events, which takes precedence over other interventions according to Maslow’s hierarchy of needs and nursing prioritization.

D. Providing printed materials for new prescriptions is important for medication adherence, but it does not address the immediate risk of harm in the home environment, making it a lower priority.

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Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. Having assistive personnel double-check packed RBCs is inappropriate and unsafe, as this task requires nursing knowledge, critical thinking, and accountability. Delegating this to an AP violates ethical standards related to patient safety.

B. Delegating the removal of an IV catheter to an LPN is appropriate, as LPNs are trained and licensed to perform certain procedures under the supervision of an RN. This demonstrates understanding of the ethical principle of delegation within scope of practice.

C. Accepting gifts from clients or families can lead to conflicts of interest or perceived favoritism. The Code of Ethics advises nurses to avoid situations that compromise professional judgment, making this statement indicate a lack of understanding.

D. Attending continuing education classes for professional growth reflects the nurse’s ethical obligation to maintain competence and provide safe, evidence-based care, which aligns with the Code of Ethics.

E. Administering pain medication regardless of a client’s history of narcotic addiction demonstrates the ethical principle of nonmaleficence and beneficence, ensuring that clients receive appropriate pain management without discrimination or bias.

A. Ensure that admitting staff undergo a purified protein derivative skin test. B. Place a sign on the client's door with the diagnosis. C. inform all members of the household they will require treatment. D. Notify the public health department of the diagnosis

Correct Answer is D

Explanation

Rationale:
A. While healthcare personnel should have baseline tuberculosis (TB) screening, it is not the nurse’s responsibility to ensure staff undergo testing at the time of admitting a client. This is part of occupational health protocols.

B. Placing a sign on the door with the diagnosis is not appropriate because it violates client confidentiality. Instead, isolation precautions should be followed without publicly disclosing the diagnosis.

C. Informing household members directly about their need for treatment is outside the nurse’s scope of practice. Public health authorities handle contact tracing and notification to ensure confidentiality and proper follow-up.

D. Notifying the public health department is the correct action. TB is a reportable communicable disease, and public health authorities are responsible for monitoring, controlling the spread of infection, and coordinating contact investigation and treatment.

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A nurse is planning discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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