During a home health visit, the nurse observes that an elderly client with type 2 diabetes mellitus is wearing loose cloth slippers.
The client reports discomfort when wearing other shoes due to long toenails.
Upon inspection, the nurse finds long, thick nails that curl under some of the client’s toes. What should the nurse do in this situation?

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client’s home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care. Therefore, suggesting that social services be contacted to find a respite care facility for the client would be the best information for the nurse to provide.

Choice B rationale

Hiring a private nurse, also known as concierge nursing, is another option for providing relief to caregivers. However, this option might not be feasible for all families due to the potential cost. Moreover, it might not provide the caregiver with the same level of relief as respite care, as the caregiver might still feel obligated to be involved in the client’s care.

Choice C rationale

A case management evaluation of the client’s home environment could be helpful in assessing the client’s needs and identifying potential resources or modifications that could make caregiving easier. However, this does not directly address the caregiver’s need for rest and relief from their duties.

Choice D rationale

Recommending that the client’s family return to the area to help provide assistance could potentially provide some relief to the caregiver. However, this might not be a feasible or immediate solution, as it depends on the family’s availability and willingness to relocate or travel.

Answer and explanation The correct answer is B. Choice A rationale

Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.

Choice B rationale

Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.

Choice C rationale

Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.

Choice D rationale

Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.