A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the case manager make first?

The correct answer is Choice C because, "Clients will schedule bone density screenings." Postmenopausal women are at an increased risk for osteoporosis, and bone density screenings can help identify early signs of the disease, enabling early intervention to prevent complications.

Choice A is wrong because, "Clients will start hormone replacement therapy," is not the correct answer because hormone replacement therapy is not appropriate for all women and can have

negative side effects. It is not an appropriate outcome for an educational program.

Choice B is wrong because, "Clients will significantly decrease caloric intake," is not the correct answer because this outcome is not relevant to postmenopausal women specifically. Additionally, significant caloric restriction can lead to malnutrition and other negative health outcomes.

Choice D is wrong because, "Clients will arrange for mammograms every 3 years," is not the correct answer because while mammograms are an important screening tool for breast cancer, they are not specific to postmenopausal women and should be recommended to all women starting at age 40. Bone density screenings are a more appropriate outcome for a program specifically targeting postmenopausal women.

The correct answer is Choice D because, "Release a media announcement asking residents to remove areas of standing water." The nurse should release a media announcement asking residents to remove areas of standing water to prevent the breeding of mosquitos. This answer is correct because standing water provides a breeding ground for mosquitos, which can transmit encephalitis.

Choice Bis wrong because is incorrect because researching the species of mosquito responsible for the outbreak is not an activity that the nurse should perform to implement mosquito control strategies.

Choice Ais wrong because is incorrect because reviewing morbidity rates of encephalitis within the last 6 months is not an activity that the nurse should perform to implement mosquito control strategies.

Choice C is wrong because is incorrect because identifying the number of cases resulting in disability from encephalitis is not an activity that the nurse should perform to implement mosquito control strategies.