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 nurse make first?

"Describe the place where you are currently living."

"Apply moisture barrier ointment three times a day."

"A social worker can help you with the cost of supplies."

"Eat a balanced diet with high-protein snacks."

Answer and Explanation

The Correct Answer is A

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

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Correct Answer is B

Explanation

Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.

Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.

Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.

Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.

A. Ensure client adherence to the medication regimen. B. Perform tuberculosis screenings throughout the community. C. Report the active case to the public health department. D. Provide education to the community about the manifestations of tuberculosis.

Correct Answer is C

Explanation

Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.

Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.

Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.

Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.

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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 nurse make first?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is C

Explanation

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