The nurse is working on discharge planning for a 25-year-old hospitalized client diagnosed with Multiple Sclerosis (MS). The client has significant bilateral lower extremities muscle weakness. Which of the following facilities should the nurse expect this client to be discharged to?

Home care services

Sub-acute care facility

Rehabilitation facility

Skilled nursing facility

Answer and Explanation

The Correct Answer is C

Choice A reason:

Home care services provide medical and personal care to clients in their homes. While this option may be suitable for clients with less severe symptoms, a client with significant bilateral lower extremities muscle weakness may require more intensive rehabilitation services to improve mobility and function.

Choice B reason:

A sub-acute care facility provides care for clients who need more intensive services than those available in a traditional nursing home but do not require the full resources of a hospital. While this option may be appropriate for some clients, a rehabilitation facility is better suited for addressing the specific needs of a client with significant muscle weakness due to MS.

Choice C reason:

A rehabilitation facility is the most appropriate setting for a client with significant bilateral lower extremities muscle weakness due to MS. These facilities offer specialized programs and therapies designed to improve mobility, strength, and overall function. The client can receive comprehensive care from a multidisciplinary team, including physical therapists, occupational therapists, and neurologists.

Choice D reason:

A skilled nursing facility provides long-term care for clients with chronic conditions or disabilities. While these facilities offer medical care and assistance with daily activities, they may not provide the intensive rehabilitation services needed for a client with significant muscle weakness due to MS.

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Correct Answer is ["B","C","E"]

Explanation

Choice A reason:

Assigning the client to a private room is not the priority action in this scenario. The focus should be on decontamination and preventing the spread of the unknown substance to others in the emergency department. Isolation measures can be considered after initial decontamination.

Choice B reason:

Removing the client and transport crew from the Emergency department is a priority action to prevent contamination of the area and exposure to other patients and staff. This step helps contain the potential hazard and ensures the safety of everyone in the department.

Choice C reason:

Contacting the decontamination team is essential for managing the situation. The decontamination team has the expertise and equipment to safely remove the unknown substance from the client and transport crew, reducing the risk of further exposure and contamination.

Choice D reason:

Calling the scene to identify the chemical can be helpful, but it is not the immediate priority. The focus should be on decontamination and ensuring the safety of the client and others. Identifying the chemical can be done concurrently or after initial decontamination efforts.

Choice E reason:

Immediately removing the saturated clothing from the client is a critical step in the decontamination process. Removing contaminated clothing helps reduce the client’s exposure to the substance and prevents further absorption through the skin.

A. The client’s level of family support B. The client’s financial resources C. The client’s access to transportation D. The client’s ability to prepare meals

Correct Answer is D

Explanation

Choice A reason:

The client’s level of family support is important, but it is not the most critical factor in determining eligibility for Meals-on-Wheels. Family support can supplement the client’s needs, but the primary focus should be on the client’s ability to prepare meals independently.

Choice B reason:

The client’s financial resources are a consideration, but many Meals-on-Wheels programs offer services on a sliding scale or free of charge based on need. Financial resources alone do not determine eligibility; the ability to prepare meals is a more direct indicator of need.

Choice C reason:

The client’s access to transportation is relevant, especially if they need to travel to obtain food. However, Meals-on-Wheels is designed to serve homebound clients who cannot easily leave their homes, making transportation less of a concern compared to the ability to prepare meals.

Choice D reason:

The client’s ability to prepare meals is the most important factor in determining eligibility for Meals-on-Wheels. This program is specifically designed to assist individuals who are unable to prepare nutritious meals for themselves due to physical or cognitive limitations. Ensuring that clients receive adequate nutrition is the primary goal of the program.

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The nurse is working on discharge planning for a 25-year-old hospitalized client diagnosed with Multiple Sclerosis (MS). The client has significant bilateral lower extremities muscle weakness. Which of the following facilities should the nurse expect this client to be discharged to?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting triage of clients transported from a mass casualty incident (MCI). A client arrives saturated with an unknown substance and medical transport reports feeling dizzy. The nurse should prioritize which actions? SELECT ALL THAT APPLY

Correct Answer is ["B","C","E"]

Explanation

A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?

Correct Answer is D

Explanation

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