A nurse needs to begin discharge planning for a patient admitted with pneumonia and a congested cough. When is the best time the nurse should start discharge planning for this patient?
Upon admission
Right before discharge
After the congestion is treated
When the primary care provider writes the order
The Correct Answer is A
Choice A reason: Discharge planning upon admission ensures a comprehensive care plan, addressing pneumonia’s impact on oxygenation and energy levels. Early planning identifies home care needs, like oxygen therapy or follow-up, reducing readmission risk. Pneumonia, caused by bacterial or viral infection, impairs gas exchange, and early coordination ensures continuity of care for optimal recovery post-discharge.
Choice B reason: Starting discharge planning right before discharge is too late, as it limits time to arrange resources like home care or education. Pneumonia recovery requires managing infection and oxygenation, which benefits from early planning. Delayed planning risks gaps in care, increasing complications like relapse or inadequate support for respiratory function post-hospitalization.
Choice C reason: Waiting until congestion is treated delays discharge planning, missing opportunities to prepare for post-hospital needs. Pneumonia’s inflammatory response impairs alveolar gas exchange, requiring ongoing management. Early planning ensures patients receive education and resources, like inhalers, to maintain respiratory function, reducing readmission risk compared to waiting for symptom resolution.
Choice D reason: Waiting for the provider’s order delays discharge planning, reducing time for patient education or resource coordination. Pneumonia recovery involves managing infection and supporting oxygenation, which benefits from early planning. Provider orders may guide specifics, but initiating planning upon admission ensures proactive care, addressing respiratory and functional needs for a smooth transition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Instructing repositioning every 2 hours is appropriate but not the first action for a progressing ulcer, seen on video. Verification via in-person assessment ensures accuracy, as video may not capture depth or infection. A home visit confirms the stage, guiding intervention, per pressure ulcer management protocols.
Choice B reason: Asking the daughter to take pictures is unreliable, as non-professional images may lack clarity or accuracy. A nurse’s in-person assessment is needed to evaluate ulcer progression, ensuring proper staging and treatment, avoiding misdiagnosis, per telehealth and wound care standards.
Choice C reason: Contacting the provider for a hydrocolloid dressing is premature without verifying the ulcer’s stage in person. Stage 1 ulcers typically require pressure relief, not advanced dressings. A home visit confirms progression, ensuring appropriate intervention, per evidence-based wound care guidelines.
Choice D reason: Making a home visit to verify ulcer changes is the priority, as video may not fully capture progression (e.g., depth, infection). In-person assessment confirms the stage, guiding accurate treatment like dressings or repositioning, preventing deterioration, per telehealth wound assessment and pressure injury protocols.
Correct Answer is B
Explanation
Choice A reason: Florence Nightingale founded modern nursing and improved hospital sanitation but did not establish the U.S. Red Cross. Her work focused on nursing education and patient care standards, impacting healthcare systems globally. The Red Cross, a humanitarian organization, was established in the U.S. by Clara Barton, making Nightingale incorrect for this achievement.
Choice B reason: Clara Barton established the American Red Cross in 1882, providing disaster relief and wartime aid. Her work involved organizing volunteer efforts to support medical care and supplies, addressing physiological needs like wound care and nutrition during crises. Barton’s leadership formalized humanitarian aid in the U.S., making her the correct pioneer for this milestone.
Choice C reason: Dorothea Dix advocated for mental health reform and improved conditions for the mentally ill but did not found the Red Cross. Her efforts focused on institutional reforms, not disaster relief or wartime medical support. Clara Barton’s establishment of the Red Cross addressed acute humanitarian needs, making Dix incorrect for this role.
Choice D reason: Jane Addams founded Hull House and focused on social reform, not the Red Cross. Her work addressed community health and social disparities, not organized disaster or wartime relief. Clara Barton’s Red Cross provided medical and humanitarian aid, distinct from Addams’ social work, making Addams incorrect for this achievement.
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