A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?
Arrange for a home health nurse to visit the client following discharge.
Provide the client with information on self-help groups for alcohol use disorder.
Contact a social worker to assist the client with managing finances.
Determine which home safety measures the client needs to implement.
The Correct Answer is A
Choice A reason: Arranging for a home health nurse is often the first step in discharge planning for a client with complex needs such as alcohol use disorder and cirrhosis, to ensure continuity of care and support the client's transition from hospital to home.
Choice B reason: While providing information on self-help groups is important, it is not typically the first action taken during discharge planning.
Choice C reason: Contacting a social worker is an important part of discharge planning, but it usually follows the arrangement of immediate post-discharge medical care.
Choice D reason: Determining home safety measures is crucial, but it generally comes after arranging for necessary medical follow-up care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E","F"]
Explanation
Choice A - Hearing Findings: Elevated lead levels can affect the auditory system, leading to hearing problems which can be a long-term complication.
Choice B - Eating History: While the child's picky eating behavior was noted, it is not a direct long-term complication of elevated lead levels.
Choice C - Behavior Findings: Lead exposure can result in behavioral issues, including hyperactivity and aggression, which are potential long-term complications.
Choice D - Vital Signs: The vital signs provided do not indicate long-term complications related to lead exposure.
Choice E - Speech History: Developmental delays, including speech delays, can be a long-term complication of elevated lead levels.
Choice F - Attention Findings: Lead exposure can lead to attention-related issues, such as attention deficit hyperactivity disorder (ADHD), which is a long-term complication.
Correct Answer is ["A","B"]
Explanation
Rationale for Correct Findings:
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Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
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The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.
Rationale for Incorrect Findings:
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The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
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The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.
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