A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Contact the case manager to discuss discharge options.

Recommend the partner place the client in a long-term care facility.

Request another family member assist the client's partner with care.

Ask the provider to delay the client's discharge home for a few more days

Answer and Explanation

The Correct Answer is A

A.   Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B.   Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C.   Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D.   Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.

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Correct Answer is B

Explanation

- A: This client requires initial teaching, which is typically the responsibility of a registered nurse due to the educational aspect and the need to assess the client's understanding.
- B: Administering an enema is a task that falls within the scope of practice for a licensed practical nurse and does not require the advanced assessment skills of a registered nurse.
- C: Developing an initial plan of care involves comprehensive assessment and critical thinking, which are responsibilities of a registered nurse.
- D: A client transferring from the CCU after a myocardial infarction would require close monitoring and assessment, which are beyond the scope of practice for a licensed practical nurse.

A. Wait to dispose of sharps containers until they are completely full. B. Use clean gloves rather than sterile gloves for colostomy care. C. Return unused supplies from the bedside to the unit's supply stock. D. Store opened bottles of normal saline in a refrigerator for up to 48 hours.

Correct Answer is B

Explanation

A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.

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A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

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