A nurse is assisting with discharge planning for a client who has a sacral pressure injury and has a prescription for daily dressing changes. Which of the following resource referrals should the nurse anticipate from the provider for this client?

Home care

Assisted living

Long-term care

Hospice care

Answer and Explanation

The Correct Answer is A

Choice A reason: Home care is the most appropriate resource referral for this client, as they will need skilled nursing care to perform wound care and monitor the healing process. Home care can also provide education and support for the client and their family.

Choice B reason: Assisted living is not a suitable resource referral for this client, as they do not provide skilled nursing care or wound care. Assisted living facilities are designed for clients who need assistance with activities of daily living, but not medical care.

Choice C reason: Long-term care is not a necessary resource referral for this client, as they do not have a chronic or terminal condition that requires 24hour nursing care. Long-term care facilities are intended for clients who are unable to live independently due to physical or cognitive impairments.

Choice D reason: Hospice care is not an appropriate resource referral for this client, as they do not have a terminal illness or a life expectancy of less than six months. Hospice care provides palliative care and comfort measures for clients who are dying and their families.

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Correct Answer is C

Explanation

Choice A reason: This statement is false and should not be included in the teaching. Increase in saliva production does not increase the risk for dehydration, but rather helps to moisten the mouth and facilitate swallowing and digestion. Saliva production may decrease with aging due to factors such as medication side effects, dry mouth, or reduced fluid intake.

Choice B reason: This statement is false and should not be included in the teaching. Decrease in systolic blood pressure does not increase the risk for dehydration, but rather indicates a lower force of blood against the artery walls. Systolic blood pressure may decrease with aging due to factors such as reduced cardiac output, decreased vascular resistance, or orthostatic hypotension.

Choice C reason: This statement is true and should be included in the teaching. Decrease in kidney function increases the risk for dehydration, as it reduces the ability of the kidneys to concentrate urine and conserve water. Kidney function may decrease with aging due to factors such as reduced blood flow, decreased glomerular filtration rate, or loss of nephrons.

Choice D reason: This statement is false and should not be included in the teaching. Increase in percentage of body water does not increase the risk for dehydration, but rather indicates a higher proportion of water in relation to body weight. Percentage of body water may decrease with aging due to factors such as loss of muscle mass, increased fat tissue, or hormonal changes.

A. Teaches nursing students B. Provides direct client care C. Organizes client services following discharge D. Collects and utilizes data to change current practice

Correct Answer is C

Explanation

Choice A reason: This statement is false and should not be included in the teaching. Teaches nursing students is not a responsibility of a case manager, but rather a role of a nurse educator. A nurse educator is a nurse who designs, implements, and evaluates educational programs for nurses, students, and other health care professionals.

Choice B reason: This statement is false and should not be included in the teaching. Provides direct client care is not a responsibility of a case manager, but rather a role of a direct care nurse. A direct care nurse is a nurse who provides handson care to patients in various settings, such as hospitals, clinics, or home health agencies.

Choice C reason: This statement is true and should be included in the teaching. Organizes client services following discharge is a responsibility of a case manager, as it involves coordinating and facilitating the transition of care from one setting to another. A case manager is a nurse who assesses, plans, implements, monitors, and evaluates the options and services required to meet the client's health and human service needs.

Choice D reason: This statement is false and should not be included in the teaching. Collects and utilizes data to change current practice is not a responsibility of a case manager, but rather a role of a nurse researcher. A nurse researcher is a nurse who conducts scientific studies to improve health care outcomes, quality, and safety.

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A nurse is assisting with discharge planning for a client who has a sacral pressure injury and has a prescription for daily dressing changes. Which of the following resource referrals should the nurse anticipate from the provider for this client?

Nursing Test Bank

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