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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Rationale:

A. Silence the bed alarm when visitors are at the client's bedside: Silencing the bed alarm, even with visitors present, eliminates an essential safety mechanism. The presence of visitors does not guarantee client supervision, and falls can still occur if the client attempts to get up unexpectedly.

B. Establish an elimination schedule for the client: Creating a toileting schedule helps reduce the likelihood of the client attempting to ambulate independently to the bathroom, which is a common time for falls. This proactive approach promotes safety and preserves dignity.

C. Allow the client to walk unassisted near the nursing station: Even when close to staff, allowing a fall-risk client to walk unassisted increases the chance of injury. Supervision does not replace physical support or assistive devices for those at risk.

D. Raise all four bed rails on the client's bed: Raising all four bed rails is considered a form of restraint and may increase injury risk if the client attempts to climb over them. Instead, using two rails and other fall precautions is safer and more appropriate.

A. Raise the head of the client's bed to a high-Fowler' B. Keep an abduction pillow between the client's legs C. Elevate the client's affected leg on a pillow when in bed. D. Position the client's knees slightly higher than the hips when up in a chair

Correct Answer is B

Explanation

Rationale:

A. Raise the head of the client's bed to a high-Fowler's: Placing the client in high-Fowler’s position increases hip flexion beyond 90 degrees, which raises the risk of dislocation following a hip arthroplasty. Proper positioning involves limited hip flexion.

B. Keep an abduction pillow between the client's legs: An abduction pillow maintains proper alignment by keeping the legs apart and preventing internal rotation or adduction of the hip, both of which increase the risk of dislocation after surgery.

C. Elevate the client's affected leg on a pillow when in bed: Elevating the affected leg on a pillow may cause external rotation or misalignment of the hip. Unless prescribed, this practice may inadvertently increase the risk of hip dislocation.

D. Position the client's knees slightly higher than the hips when up in a chair: Having the knees higher than the hips promotes hip flexion beyond 90 degrees, a common cause of prosthesis dislocation postoperatively. Proper chair height and posture help prevent this complication.

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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.)

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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