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?
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Determine whether the client is eligible to go to a skilled nursing facility.
Evaluate the client's home environment.
Ask whether the client's insurance will cover home health services.
The Correct Answer is C
The correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.
Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.
Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.
Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B because, "Determine the health concerns of the employees." Before planning a health fair, it is important to determine the health concerns of the employees in order to tailor the fair to meet their specific needs. Obtaining necessary supplies and equipment (Choice A is wrong because) and making a list of expected outcomes for the health fair (Choice D is wrong because) are important, but not the first priority. Marketing the health fair to the employees (Choice C is wrong because) can be done once the specific health concerns have been identified.
Choice A is wrong because: Obtaining necessary supplies and equipment is important, but not the first priority.
Choice C is wrong because Marketing the health fair to the employees can be done once the specific health concerns have been identified.
Choice D is wrong because: Making a list of expected outcomes for the health fair is important, but not the first priority.
Correct Answer is A
Explanation
The correct answer is Choice A because, "I will be taking medication daily for at least 6 months." Tuberculosis is a bacterial infection that requires treatment with antibiotics for at least 6 months to ensure that the bacteria are completely eradicated. The client's statement indicates that they understand the importance of completing the full course of treatment.
Choice B is wrong because, "I will need to have a special HEPA filter installed in my home," is not the correct answer because although HEPA filters can help reduce the spread of tuberculosis, it is not a priority in client education.
Choice C is wrong because, "I will make sure to stop taking my medication as soon as I start feeling better," is not the correct answer because stopping medication too soon can lead to the development of drug-resistant tuberculosis and the return of symptoms.
Choice D is wrong because, "I can stop taking my medication once my cough goes away," is not the correct answer because a cough can persist even after the bacteria have been eliminated, and stopping medication too soon can lead to a relapse of the disease.
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