A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?
Ask whether the client's insurance will cover home health services
Determine whether the client is eligible to go to a skilled nursing facility.
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Evaluate the client's home environment.
The Correct Answer is D
A. Ask whether the client's insurance will cover home health services: While financial coverage is important for ongoing care, it is not the immediate priority. Assessing physical and environmental safety takes precedence to ensure a smooth and safe transition home.
B. Determine whether the client is eligible to go to a skilled nursing facility: This is a relevant consideration for continued care but does not directly address the client’s immediate post-discharge needs regarding their ability to function safely at home with the prosthesis.
C. Collaborate with a prosthetist to teach the client about care of the prosthesis: Education on prosthesis care is essential but should occur after ensuring that the home environment is suitable for mobility, safety, and prosthesis use.
D. Evaluate the client's home environment: This is the priority because safety and accessibility of the home are critical for a client with a new prosthesis. Identifying barriers such as stairs or narrow doorways helps prevent injury and promotes independence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreased nausea: Ginger is well-documented for its antiemetic properties. It helps relieve various types of nausea, including that caused by motion sickness, pregnancy, chemotherapy, and postoperative recovery by acting on the gastrointestinal tract and central nervous system.
B. Decreased manifestations of menopause: While some herbal remedies like black cohosh or soy are used for menopausal symptoms, ginger is not commonly used for hot flashes or hormonal regulation, so this would not be an appropriate indicator of its effectiveness.
C. Decreased manifestations of allergy: There is limited evidence suggesting that ginger plays a significant role in alleviating allergic symptoms. It is not considered a primary alternative therapy for allergy treatment.
D. Decreased eczema: Ginger does not have recognized therapeutic value for eczema. Other topical treatments or dietary interventions are more commonly used for managing this skin condition.
Correct Answer is A
Explanation
A. The presence of community members smoking reflects individual lifestyle choices, as smoking is a personal behavior that directly affects health. Observing such behavior can help the nurse identify trends in health practices and target interventions like smoking cessation programs.
B. The presence of a community health clinic represents an available resource for healthcare access, which is a structural or systemic factor rather than an individual lifestyle choice. It reflects the healthcare infrastructure in the area.
C. The presence of a manufacturing facility is related to the economic and environmental conditions of the community. While it may influence occupational health, it is not an indicator of personal health choices made by individuals.
D. The presence of high-speed internet is an infrastructural advantage that may support health education and access to services, but it is not a direct observation of personal health behavior or lifestyle decisions.
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