A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first?
Inadequate food supply
Limited social support
Low pain tolerance
Decreased self-esteem
The Correct Answer is A
A. Inadequate food supply is a basic physiological need that directly affects recovery, wound healing, and overall postoperative outcomes after coronary artery bypass grafting. Ensuring access to adequate nutrition is essential for physical recovery and takes priority in discharge planning.
B. Limited social support is important for long-term recovery and adherence to care but does not address an immediate physiological need. It is typically addressed after basic needs are secured.
C. Low pain tolerance affects comfort and recovery experience but is managed through pain control strategies and does not take priority over essential survival needs like nutrition.
D. Decreased self-esteem is a psychosocial concern that, while important for holistic recovery, is addressed after physiological and safety needs have been met.
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Related Questions
Correct Answer is D
Explanation
A. Posting a client's vital signs in their room violates their confidentiality by making private health information publicly accessible.
B. Discarding personal health information documents in the trash can expose sensitive information and is not a secure method of disposal.
C. Using another nurse's password compromises security and individual accountability, leading to potential breaches of confidentiality.
D. Encrypting personal health information when sending emails demonstrates an understanding of the importance of protecting sensitive client data during electronic communication.
Correct Answer is C
Explanation
A. Contacting the provider may be part of the process, but it does not directly address the conflict between the family members' wishes and the health care surrogate's legal authority.
B. While the ethics committee can be a valuable resource in resolving disputes, it is not the first step in this situation, as the health care surrogate has the legal right to make decisions on behalf of the unconscious client.
C. The health care surrogate is legally designated to make health care decisions for the client when they are unable to do so themselves. This includes decisions about life-sustaining treatments such as a feeding tube.
D. Reviewing the client's advance directives is important, but it does not supersede the authority of the health care surrogate unless the directives explicitly limit the surrogate's decision-making power.
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