14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?
Ask the provider to delay the client's discharge home for a few more days.
Recommend the partner place the client in a long- term care facility.
Contact the case manager to discuss discharge options.
Request another family member assist the client's partner with care.
The Correct Answer is C
a. Delaying the client's discharge without exploring other options may not address the partner's concerns and could lead to further issues.
b. While placing the client in a long-term care facility may be an option, it should be discussed with the case manager and considered alongside other options.
c. Contacting the case manager is appropriate to discuss the partner's concerns and explore alternative discharge arrangements that meet the client's needs.
d. Requesting another family member to assist may not be feasible or address the partner's ability to provide care.
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Related Questions
Correct Answer is D
Explanation
a. Accompanying a client who just had a wound debridement to physical therapy - LPNs can assist with client mobility and transportation, but wound debridement is a procedure that typically requires RN-level assessment and monitoring.
b. Obtaining a urine specimen from an older adult client - This role is more appropriate for the assstive personnel
c. Providing postmortem care for a client that just died - This task involves emotional support, dignity, and respect for the deceased, as well as proper documentation. It's within the RN scope of practice due to its complexity and emotional sensitivity.
d. Reinforcing dietary teaching with a client who has heart disease - LPNs can reinforce teaching once the initial teaching has been done by the RN, and dietary education for clients with heart disease often involves routine guidelines and doesn't necessarily require the comprehensive assessment and education provided by an RN. Therefore, this task is appropriate for the LPN.
Correct Answer is ["A","B","C","D"]
Explanation
b. Develop learning objectives for the program: This step is essential as it sets the foundation for what the educational program aims to achieve. Learning objectives define what participants should be able to do or know after completing the program. They guide the content and structure of the educational session.
a. Determine what skills to teach the staff members: Once the learning objectives are established, the nurse can identify the specific skills or knowledge areas that need to be taught to achieve those objectives. This step involves analyzing the functionality of the new intravenous pump and identifying the key competencies that staff members need to develop.
c. Identify resources available to meet objectives: After determining the skills to teach, the nurse should assess the resources available to deliver the educational content effectively. This may include educational materials, equipment, personnel, and facilities needed to conduct the training session.
d. Review the staff member's evaluation of the program: Evaluation is crucial to assess the effectiveness of the educational program and identify areas for improvement. By reviewing staff members' evaluations of the program, the nurse can gather feedback on the content, delivery, and overall impact of the training session, allowing for continuous quality improvement in future educational endeavors.
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