A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home V therapy. Which of the following resources should the nurse recommend? (Select all that apply.)
Respite care
Adult day care
Medicare Part A
Medicaid
Food Stamps
Correct Answer : D,E
Rationale:
A. Respite care: Respite care is designed to temporarily relieve caregivers of people with chronic conditions, typically elderly or disabled clients. It is not suitable for a young adult needing home IV therapy unless there is a primary caregiver experiencing burnout, which is not indicated in this scenario.
B. Adult day care: Adult day care services are intended for older adults who need supervision and social interaction during daytime hours. This service is not relevant for a young adult receiving home-based IV therapy, which requires in-home clinical support rather than daytime supervision outside the home.
C. Medicare Part A: Medicare Part A covers hospital stays, skilled nursing, and limited home health services but is generally for individuals over 65 or those with qualifying disabilities. A young adult living in poverty without a qualifying disability would not typically be eligible for this benefit.
D. Medicaid: Medicaid provides comprehensive health coverage for low-income individuals of all ages and is often used to fund home healthcare services, including IV therapy. It is a key resource for ensuring this client receives needed care at home.
E. Food Stamps: The Supplemental Nutrition Assistance Program (SNAP), commonly known as Food Stamps, helps low-income individuals afford adequate nutrition. This support is crucial for clients below the poverty level, especially while recovering and managing ongoing healthcare needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Temperature 37.7° C (99.9° F): This temperature is only slightly elevated and not strongly indicative of infection. Endometritis typically presents with a fever above 38°C (100.4°F), reflecting a more pronounced inflammatory response.
B. Polyuria: Increased urine output is not a characteristic sign of endometritis. It may be seen with conditions such as diabetes mellitus or post-diuresis but is unrelated to uterine infection.
C. Malodorous lochia: Foul-smelling lochia is a key clinical sign of endometritis, indicating infection of the uterine lining. It often accompanies uterine tenderness, fever, and possibly abdominal pain.
D. Heart rate 56/min: Bradycardia is not typical in endometritis. Instead, clients may present with tachycardia as part of the systemic inflammatory response to infection. A low heart rate would be unexpected.
Correct Answer is ["A","B","C","D","E"]
Explanation
Rationale:
A. Heart rate: Initially elevated (110/min), the client’s heart rate has decreased to 78/min by postpartum day 5, reflecting hemodynamic stability and resolution of infection-related tachycardia.
B. Temperature: Fever present on day 3 (38.6°C) has resolved by day 5 (37.1°C), indicating improved systemic response and reduced inflammation or infection.
C. WBC count: Markedly elevated at 33,000/mm³ on day 3, consistent with postpartum endometritis, has normalized to 10,000/mm³ by day 5, suggesting resolution of infection.
D. Fundal height: Uterine involution is progressing appropriately, moving from 1 cm above the umbilicus to 4 cm below by day 5, indicating the uterus is returning to its non-pregnant state.
E. Lochia: Lochia has changed from moderate, foul-smelling, dark brown on day 3 to a small amount of brownish-red with no odor by day 5, showing improvement in uterine healing and decreased infection.
F. Hemoglobin: The client’s hemoglobin has dropped from 11.1 g/dL to 10 g/dL. While still near the normal postpartum range, this decline does not represent an improvement and may indicate mild ongoing blood loss or dilutional effect.
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