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.
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.
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Related Questions
Correct Answer is B
Explanation
A. Census data:
Census data provides demographic information about populations, such as age, sex, and ethnicity, but it does not typically provide detailed statistics on specific health outcomes like infant death rates.
B. Bureau of Vital Statistics:
The Bureau of Vital Statistics collects and maintains data on vital events such as births, deaths, marriages, and divorces. This resource would provide the most accurate and comprehensive data on infant mortality rates for comparison between cities and the state.
C. Disease registry:
Disease registries track specific diseases and conditions, but they are not typically used for gathering data on general statistics such as infant death rates. They are more focused on chronic or specific conditions.
D. Department of Health:
While the Department of Health can provide a wide range of health-related information and data, the Bureau of Vital Statistics is the specific resource for detailed and accurate mortality data. The Department of Health may use this data but does not typically maintain it directly.
Correct Answer is A
Explanation
A) Accessibility to trauma care:
In a rural community, where access to specialized healthcare services can be limited due to geographic isolation, having accessibility to trauma care is crucial. Trauma care resources are vital for managing severe injuries and emergencies, which may be more challenging to address promptly in rural areas. Ensuring that the community has access to emergency trauma care can significantly impact health outcomes and survival rates in critical situations.
B) Annual health fair:
While an annual health fair can be beneficial for promoting health awareness and providing screenings, it is a periodic event rather than an ongoing resource. In rural communities, continuous and accessible healthcare services, such as trauma care, have a more immediate and critical impact on health outcomes compared to periodic health fairs.
C) Family planning center:
A family planning center is important for reproductive health and can provide valuable services to individuals and families. However, in the context of immediate and potentially life-threatening health needs, such as trauma care, its importance is comparatively lower. In rural settings, immediate access to trauma care can be more critical due to the potential for severe injuries and emergencies.
D) Weather-related disaster plan:
A weather-related disaster plan is essential for preparing for and responding to natural disasters, which can be crucial in a rural setting prone to severe weather events. However, in terms of day-to-day healthcare needs and addressing immediate health crises like trauma, accessibility to trauma care is more directly relevant to the community’s ongoing health and safety.
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