The nursing student is creating a plan of care for a patient with a complex medical history. Which discharge intervention will require further education by the nursing instructor?

Allow medical staff to make the plan of care decisions.

Assessing the family's home environment.

Arranging the necessary care equipment and supplies.

Referring to financial support.

Answer and Explanation

The Correct Answer is A

Choice A reason: Allowing medical staff to make the plan of care decisions without involving the patient and their family indicates a lack of patient-cantered care, which is a critical component in effective discharge planning. The patient and family members should be actively involved in the decision-making process to ensure that the plan of care aligns with their needs, preferences, and unique circumstances. Education on the importance of collaboration and shared decision-making in care planning is essential.

Choice B reason: Assessing the family's home environment is a necessary step in discharge planning. This intervention ensures that the patient will have a safe and supportive environment to return to, which can significantly impact their recovery and well-being. It includes evaluating factors such as accessibility, availability of caregivers, and any potential hazards that might affect the patient's health.

Choice C reason: Arranging the necessary care equipment and supplies is an important part of discharge planning to ensure that the patient has all the resources needed to continue their care at home. This includes medical equipment, medications, and other supplies that support the patient's health and recovery. Proper planning and arrangement of these resources prevent gaps in care and promote a smooth transition from hospital to home.

Choice D reason: Referring to financial support is a critical intervention, especially for patients with complex medical histories who may face significant healthcare costs. Financial support can help alleviate the burden of medical expenses and ensure that the patient has access to necessary services and treatments. The nursing student needs to understand the importance of connecting patients with financial resources and support programs.

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 A

Explanation

Choice A reason: Encouraging the patient to ambulate intermittently and change positions can help alleviate early decelerations by improving uteroplacental blood flow and promoting fatal oxygenation. Movement and position changes can reduce compression on the umbilical cord and facilitate Labor progression.

Choice B reason: Placing the patient in the left lateral position can improve uteroplacental blood flow, but increasing the oxytocin rate is not indicated based on the current findings. Early decelerations are typically not a sign of Labor dystocia requiring oxytocin augmentation.

Choice C reason: Administering oxygen via a non-rebreather mask is generally reserved for situations where there is significant fatal distress or non-reassuring fatal heart rate patterns. Early decelerations are usually benign and do not necessitate supplemental oxygen.

Choice D reason: Teaching the patient to push when she feels the urge during contractions is appropriate during the second stage of Labor. However, the current findings with early decelerations do not indicate the need for this intervention at this time. The focus should be on monitoring and managing the fatal heart rate.

A. Facilitate an early discharge. B. Discontinue oxycodone administration. C. Restrict visitor time. D. Provide breast pump.

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

Explanation

Choice A reason: Facilitating an early discharge is not appropriate in this case. Patients with PPROM require careful monitoring and management to prevent infections and other complications.

Choice B reason: Discontinuing oxycodone administration may be necessary to prevent potential adverse effects on both the patient and the baby, especially considering the patient's recent delivery and current condition.

Choice C reason: Restricting visitor time can help reduce the risk of infection, especially for a patient with PPROM and a newborn who may have a compromised immune system.

Choice D reason: Providing a breast pump is important to help the mother establish and maintain lactation, especially if the baby is premature and may have difficulty breastfeeding directly.

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

The nursing student is creating a plan of care for a patient with a complex medical history. Which discharge intervention will require further education by the nursing instructor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient in Labor with the findings in the chart: Fatal heart rate 135 with early decelerations. What action will the nurse implement?

Correct Answer is A

Explanation

The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

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

Explanation

The nurse is assessing postpartum patients. Which patient is at risk for postpartum haemorrhage?

The nurse is caring for a 13-year-old diagnosed with atrial septal defect (ASD). Their caregivers report that the child seems more anxious and worried than usual. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?

The nurse is caring for a patient who is two days postpartum and exclusively breastfeeding. Upon assessment, the patient has cracked nipples and a painful latch. What will the nurse include in the patient's plan of care?

The nurse is assessing newborn patients who are at risk for feeding difficulties. Which patient is at the highest risk?

The nurse is assessing an 18-month-old patient at a well-child visit. What findings would suggest a developmental delay?

The nurse is caring for a patient at 32 weeks gestation experiencing irregular contractions. Which medication order will the nurse anticipate being included in the plan of care?

The nurse receives shift report on four patients. Which patient will the nurse prioritize?

The nurse is caring for a child who is diagnosed with severe dehydration and is being treated with intravenous fluids. The nurse notes bilateral crackles on lung auscultation. Which actions will the nurse prioritize?