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.

Answer and Explanation

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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Correct Answer is A

Explanation

Rationale:
a. Administering an enema for a scheduled endoscopy is within the scope of practice for an LPN. It involves a task that is repetitive, stable, and does not require critical thinking.
b. Developing an initial plan of care for a client with sickle cell anemia involves critical thinking and assessment, which are within the scope of practice for an RN.
c. A client transferring from the CCU after a myocardial infarction requires close monitoring and assessment, which are typically within the scope of practice for an RN.
d. Teaching a newly admitted client about self-administration of insulin involves education, assessment, and critical thinking, which are typically within the scope of practice for an RN.

A. An evidence-based nursing journal B. The client's health care provider C. The facility's case manager D. A collaborative, user-edited website

Correct Answer is A

Explanation

a. An evidence-based nursing journal would provide reliable, peer-reviewed information on the prevalence of Tay-Sachs disease, ensuring accuracy and reliability.
b. While the client's health care provider may have general knowledge about Tay-Sachs disease, they may not have specific prevalence statistics readily available.
c. The facility's case manager may assist with coordination of care but may not have specific information about the prevalence of Tay-Sachs disease.
d. Collaborative, user-edited websites may not always provide accurate or reliable information, so they should be used with caution for obtaining medical information.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

Correct Answer is A

Explanation

A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?

Correct Answer is A

Explanation

A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

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