A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

Review the home medication schedule with the client and family.

Provide the client with information about medical alert devices.

Arrange for a bedside commode to be delivered to the home.

Meet with the case manager to plan a home safety evaluation.

Answer and Explanation

The Correct Answer is D

A) Review the home medication schedule with the client and family:
While reviewing the home medication schedule is an important step in ensuring that the client understands their medications, it is not the immediate priority when considering the client's safety at home. The primary concern should be addressing the client’s ability to safely navigate their home environment.

B) Provide the client with information about medical alert devices:
Providing information about medical alert devices is valuable for enhancing the client’s safety. However, it should come after addressing the more immediate concern of assessing the home environment for safety issues. The client’s current ability to walk and potential home hazards need to be evaluated first.

C) Arrange for a bedside commode to be delivered to the home:
While a bedside commode can be helpful for the client’s convenience and safety, it is not the most critical action to address immediately. Ensuring that the overall home environment is safe and suitable for the client’s needs should take precedence.

D) Meet with the case manager to plan a home safety evaluation:
Meeting with the case manager to arrange a home safety evaluation is the most crucial initial step. A home safety evaluation will identify potential hazards and ensure that the living environment is adapted to the client’s needs, which is essential for preventing falls and other accidents. This assessment will help in planning for appropriate modifications and support services to ensure the client’s safety at home.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) Obtain a restraining order against the father:
Obtaining a restraining order is a legal action that can be taken to protect the child but is not typically within the scope of the nurse’s immediate responsibilities. This action would involve law enforcement and the legal system rather than being an immediate next step in the healthcare setting. The nurse's role is to report the suspected abuse and ensure that appropriate protective services are involved.

B) Encourage the mother to file a police report:
Encouraging the mother to file a police report is a potential step in addressing the situation, but it should not be the nurse's immediate next action. The nurse's primary responsibility is to ensure that the appropriate child protective services are notified and involved, as they are equipped to handle investigations and interventions in cases of suspected child abuse.

C) Ask the child if his father ever spanks him:
Asking the child about specific forms of discipline, such as spanking, could potentially place the child in a difficult or unsafe position, especially if abuse is suspected. It is not the nurse's role to investigate or interrogate the child directly. Instead, the focus should be on ensuring that the proper authorities are notified to handle the investigation.

D) Refer the family to protective service agencies:
Referring the family to protective service agencies is the most appropriate next step. These agencies are specialized in handling cases of suspected abuse and can provide the necessary intervention and support for the child’s safety and well-being. The nurse's role includes reporting suspected abuse to the appropriate authorities and ensuring that protective services are contacted to investigate and address the situation.

A. Parent's report about belravior. B. Current grade report. C. Self-report about treatment progress. D. Past grade report.

Correct Answer is A

Explanation

A) Parent's report about behavior:
The parent’s report about the adolescent's behavior is crucial for evaluating the effectiveness of methylphenidate in managing ADHD symptoms. Parents observe the child’s behavior in various settings and can provide detailed information on improvements or ongoing challenges with attention, hyperactivity, and impulsivity. This feedback is essential in assessing whether the medication is having the desired effect and if any adjustments are needed.

B) Current grade report:
While academic performance is an important aspect of evaluating the impact of ADHD medication, it is not the sole indicator of effectiveness. Grades can be influenced by multiple factors, including teaching methods, learning environment, and personal circumstances, so they provide only part of the picture.

C) Self-report about treatment progress:
Self-reports from adolescents can offer valuable insights into their own perception of how well the medication is working. However, younger individuals might not always accurately assess or communicate the effects of the medication, especially in the context of ADHD, where self-awareness can be limited.

D) Past grade report:
Past grade reports can provide historical context and help in comparing changes over time. However, they do not provide immediate feedback on the current effectiveness of the medication. Current behaviors and symptoms, as reported by parents, are more directly relevant to assessing the current impact of the medication.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?

Correct Answer is D

Explanation

The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?

Correct Answer is A

Explanation

When assessing the health of a community, which is the most important information for the nurse to obtain?

The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?

According to the Centers for Disease Control and Prevention, which diseases are reportable infectious diseases? Select all that apply.

A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)