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?
Set up appointments for in-home physical therapy.
Request a referral for a home safety assessment.
Provide printed materials for new prescriptions.
Suggest participating in a community support group.
The Correct Answer is B
A. Setting up in-home physical therapy can support long-term function but is not the most immediate concern.
B. Since the client has a new diagnosis of COPD and lives alone, ensuring their home environment is safe is the priority to reduce fall risk, ensure access to oxygen if needed, and prevent complications.
C. Providing printed materials is important for education but not the highest priority for safety.
D. Suggesting a support group helps with emotional needs but is a lower priority than ensuring the client’s immediate physical safety at home.
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Related Questions
Correct Answer is D
Explanation
A.Posting the diagnosis on the door breaches client confidentiality and is not recommended.
B.Staff should have baseline testing but are not tested solely because of admitting one client with tuberculosis.
C.Household members should be evaluated and possibly treated, but this notification is typically done through public health channels, not the nurse directly.
D.Tuberculosis is a reportable disease; notifying the public health department is mandatory for tracking and controlling outbreaks.
Correct Answer is D
Explanation
A.A registered dietitian can assist with nutrition planning but is not the first priority when a client has feeding difficulties potentially related to swallowing.
B.A respiratory therapist is not indicated based on the client’s current symptoms of weakness and difficulty feeding.
C. A speech-language pathologist evaluates swallowing and communication, which may be important, but the client’s primary issue is self-feeding due to right-sided weakness.
D. An occupational therapist specializes in helping clients regain independence in activities of daily living, including feeding, dressing, and grooming, making this referral the priority for improving functional independence.
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