A home health nurse is visiting a client who has right-sided weakness following a recent stroke. The client states, "I'm not sure how I will buy my groceries since I can't go back to work." Which of the following actions should the nurse take?
Offer to bring groceries to the client on a regular basis.
Initiate a referral for the client to a social worker.
Contact friends and neighbors to shop for the client.
Provide the client information about respite care.
The Correct Answer is B
The correct answer is choice B, Initiate a referral for the client to a social worker.
Explanation: The nurse should initiate a referral for the client to a social worker who can assist with financial and social issues related to the client's disability.
Offering to bring groceries to the client or contacting friends and neighbors are not sustainable long-term solutions. Providing information about respite care is not relevant to the client's immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "Household contacts will receive prophylactic antibiotics." The nurse should include in the teaching that household contacts of the child with pertussis will receive prophylactic antibiotics to prevent the spread of the disease. This answer is correct because pertussis is a highly contagious respiratory illness that spreads through respiratory droplets, and prophylactic antibiotics can help prevent the spread of the disease.
Choice A is wrong because is incorrect because a dehumidifier will not prevent the spread of pertussis.
Choice B is wrong because is incorrect because pertussis does not cause a rash.
Choice C is wrong because is incorrect because herd immunity occurs when a large percentage of the population is immunized against a disease, and pertussis is preventable with vaccination.
Correct Answer is C
Explanation
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.
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