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."
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A reason: This statement reflects concern about personal finances rather than adaptation to the caregiving role. It indicates stress related to balancing work and caregiving responsibilities.
Choice B reason: Arranging for a neighbor to come over demonstrates proactive planning and the ability to delegate responsibilities, which are important aspects of adapting to a caregiving role.
Choice C reason: Apologizing for untidiness may indicate feeling overwhelmed, which can be a sign of difficulty in adjusting to the new responsibilities of caregiving.
Choice D reason: Trying to rearrange the furniture for walker use shows consideration for the client's needs but also suggests ongoing challenges with adapting the living environment for care.
Correct Answer is A
Explanation
Choice A reason: Sitting on a shower chair while showering is a safe practice for individuals with lower extremity weakness. It provides stability and reduces the risk of falls in a wet environment.
Choice B reason: Placing small throw rugs on non-carpeted floors is hazardous. They can easily slip or cause tripping, especially for someone using a walker.
Choice C reason: Advising a client to ambulate without a walker when they are experiencing weakness could lead to falls and is not a safe recommendation.
Choice D reason: Using 40-watt bulbs in light fixtures may not provide adequate lighting for safety. Brighter bulbs are recommended to ensure clear visibility, reducing the risk of accidents.
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