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 IV therapy. Which of the following resources should the nurse recommend? (Select all that apply.)
Medicaid
Medicare Part A
Respite care
Food stamps
Adult day care
Correct Answer : A,D
A. Medicaid. Medicaid provides health coverage for low-income individuals, including young adults who meet poverty guidelines. It can cover home health services and IV therapy, making it an appropriate resource for this client.
B. Medicare Part A. Medicare Part A generally covers hospital care and limited home health services, but it is primarily for individuals aged 65 and older or those with certain disabilities. It is not typically available to young adults without qualifying conditions.
C. Respite care. Respite care provides temporary relief to caregivers, not direct services for clients requiring IV therapy. It is more relevant for individuals with long-term caregiving needs, not this scenario.
D. Food stamps. Also known as the Supplemental Nutrition Assistance Program (SNAP), food stamps assist low-income individuals in accessing food. It’s a valuable support service for someone living below the poverty line.
E. Adult day care. This is intended for older adults or individuals with disabilities who need supervision during the day. It is not applicable for a young adult requiring home IV therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,B,A,D
Explanation
C. Lubricate the catheter with sterile saline. After donning sterile gloves, the nurse should lubricate the catheter to reduce friction and prevent trauma to the tracheal mucosa during insertion.
B. Insert the catheter until resistance is felt. The catheter should be gently inserted into the tracheostomy until resistance is met, indicating that it has reached the carina. Inserting beyond this point may cause injury.
A. Withdraw the catheter 1 to 2 cm (0.4 to 0.8 in). Pulling back slightly after resistance ensures the catheter is not pressing directly on sensitive structures and is positioned correctly for effective suctioning.
D. Rotate the catheter while suctioning. Suction should be applied while withdrawing the catheter in a rotating motion to evenly clear secretions and minimize damage to the tracheal lining.
Correct Answer is B
Explanation
A. Candidiasis. This is a common fungal infection, often caused by Candida albicans. It is not a reportable disease to public health authorities because it is not typically considered a public health threat.
B. Chlamydia. Chlamydia is a nationally notifiable infectious disease due to its high prevalence and potential for serious complications such as infertility. Providers are required to report it to the state health department to aid in public health surveillance and control efforts.
C. Herpes simplex virus. While herpes is a common sexually transmitted infection, it is not currently on the national notifiable disease list and is not required to be routinely reported to public health agencies.
D. Human papillomavirus (HPV). HPV is widespread and associated with cervical cancer, but routine HPV infection is not reportable. However, certain types of cancer caused by HPV may be included in cancer registries.
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