Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

Providing medications to manage pain and discomfort associated with pressure ulcers.

Using an air mattress to reduce pressure on bony prominences.

Applying lotion to dry skin areas twice daily.

Educating family members about proper turning and repositioning techniques.

Answer and Explanation

The Correct Answer is B

A. Providing medications for pain and discomfort helps manage symptoms but does not directly address skin integrity.
B. Using an air mattress is effective in reducing pressure on bony prominences, thereby preventing pressure ulcers and promoting skin integrity.
C. Applying lotion helps with skin hydration but does not address the pressure that can lead to skin breakdown.
D. Educating family members about turning and repositioning is important but does not provide the physical support needed to reduce pressure on the skin as effectively as an air mattress.

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Correct Answer is B

Explanation

A. Telehealth does not directly cover the cost of prescriptions, medical equipment, or other health care expenditures; it focuses on providing access to care.
B. Telehealth is beneficial for homebound clients as it facilitates communication with primary care providers, overcoming barriers to accessing in-person care.
C. Telehealth cannot replace all services provided by health care institutions; it complements but does not duplicate every aspect of in-person care.
D. Telehealth is not specifically a supplemental program for gaps in insurance coverage but rather a mode of delivering care that can enhance access.

A. Inform the client's partner that they will be unable to care for the client B. Consult case management C. Obtain referral for occupational therapy services D. Facilitate the client’s discharge to home

Correct Answer is B

Explanation

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

Correct Answer is B

Explanation

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

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The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

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