A community health nurse is performing a home health admissions assessment with a client. The client reports being unable to obtain their prescriptions. Which of the following actions should the nurse take first?

Notify the client's family member regarding their inability to obtain prescriptions.

Call the local pharmacist on behalf of the client.

Assess the barriers to the client's ability to obtain prescriptions.

Initiate a referral to a social worker.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Notify the client’s family member regarding their inability to obtain prescriptions: Involving family members can be helpful later, but the nurse must first understand why the client cannot obtain medications before deciding whether family assistance is necessary.

B. Call the local pharmacist on behalf of the client: Contacting the pharmacist may help resolve access issues such as refills or delivery, but this step is premature without identifying the specific barriers that prevent the client from getting medications.

C. Assess the barriers to the client’s ability to obtain prescriptions: The first action is assessment to determine the root cause of the problem. Barriers may include lack of transportation, financial hardship, limited mobility, or misunderstanding of the prescription process. Once the cause is identified, appropriate interventions or referrals can be made.

D. Initiate a referral to a social worker: A social worker can assist with financial or community resources, but the nurse should first gather assessment data to provide accurate information for an effective referral.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Advise the client to wait 1 hr before showering or swimming: Testosterone gel should be allowed to fully absorb into the skin before washing or swimming, typically waiting at least 1 hour. This ensures optimal absorption and therapeutic effect.

B. Instruct the client to have his testosterone checked in 1 week: Testosterone levels are generally evaluated after several weeks of therapy to assess effectiveness, not after just one week.

C. Wear clean gloves to apply the gel: The client should apply the medication themselves using clean, dry hands. The nurse should wear gloves only if assisting to prevent unintentional hormone absorption.

D. Apply the gel to the client's genital region: Testosterone gel should not be applied to the genitals due to increased absorption risk and skin irritation. Recommended sites include shoulders, upper arms, or abdomen.

A. Walk with feet close together for stability. B. Implement a rigorous range-of-motion exercise plan. C. Use a cane for support while walking. D. Avoid the use of orthotics.

Correct Answer is C

Explanation

Rationale:
A. Walk with feet close together for stability: Walking with feet close together increases the risk of loss of balance and falls in clients with multiple sclerosis (MS). A wider stance provides greater stability and a safer base of support when ambulating.

B. Implement a rigorous range-of-motion exercise plan: While exercise is beneficial, a rigorous plan can lead to fatigue and exacerbate MS symptoms. Activities should be moderate and spaced with rest periods to prevent overexertion, which can worsen weakness and spasticity.

C. Use a cane for support while walking: Using a cane provides additional balance and stability, helping to prevent falls. Clients with MS often experience muscle weakness and impaired coordination, so assistive devices like canes or walkers promote safe mobility and independence.

D. Avoid the use of orthotics: Orthotic devices can be very helpful for clients with MS who experience foot drop or lower extremity weakness. Avoiding orthotics removes a potential source of support and increases the risk of tripping and falling during ambulation.

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A community health nurse is performing a home health admissions assessment with a client. The client reports being unable to obtain their prescriptions. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer testosterone gel to a client who has hypogonadism. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reviewing home care with a client who has multiple sclerosis. Which of the following precautions should the nurse recommend to promote client safety?

Correct Answer is C

Explanation

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