A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

"Respite care provides holistic support and care for a client who is terminally ill."

"Respite care is a continuation of psychological support after a family member dies."

"Respite care helps relieve pain and promote comfort

"Respite care allows the primary caregiver time away from day-to-day care responsibilities."

Answer and Explanation

The Correct Answer is D

A.   While respite care can be part of end-of-life care, it is not limited to terminally ill clients. Respite care is designed to provide temporary relief to caregivers for individuals with various chronic conditions, including disabilities like quadriplegia.
B.   Respite care is not specifically related to psychological support after a death. Instead, it is intended to give caregivers a break from their caregiving responsibilities, regardless of the patient's prognosis. Thus, this response does not effectively describe the function of respite care.
C.   While respite care can involve pain management and comfort measures, this statement does not fully capture the primary purpose of respite care, which is to provide temporary relief for caregivers. It may address some aspects of patient care, but it doesn't highlight the caregiver's need for a break.
D.   Respite care is specifically designed to provide primary caregivers with relief from the daily responsibilities of caregiving. It allows them time to rest, attend to personal needs, or manage other responsibilities, which can help prevent caregiver burnout and improve overall well-being for both the caregiver and the client.

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Correct Answer is ["A","B"]

Explanation

A. Using pillows or specialized heel protectors helps to alleviate pressure on the heels, reducing the risk of pressure ulcers in bony prominences. Keeping the heels off the bed surface is an effective way to prevent skin breakdown.
B. Moisture from sweat, urine, or other sources can contribute to skin breakdown and increase the risk of pressure ulcers. Keeping the skin dry is essential for maintaining skin integrity and preventing irritation or maceration.
C. While turning the client is important to relieve pressure, every 4 hours may not be frequent enough, especially for individuals at high risk for skin breakdown. The standard recommendation is to turn clients at least every 2 hours to reduce prolonged pressure on any specific area.
D. While using powder can help absorb moisture and keep skin dry, it is important to avoid overuse, as excessive powder can cause buildup and irritation. Additionally, talcum powder is not recommended due to potential respiratory issues. Instead, using barrier creams or moisture-wicking fabrics may be preferable.
E. Massaging over bony prominences, especially areas that are already red (erythematous), can increase tissue damage and worsen skin breakdown. Instead, it is better to avoid direct pressure on these areas and use protective measures to relieve pressure.

A. Provide the client with a fixed showerhead. B. Give the client a long-handled sponge. C. Fill the client's bathtub with water at 48° C (118.4° F). D. Offer the client bar soap.

Correct Answer is B

Explanation

A. A fixed showerhead may not allow the client to effectively control the water flow or direction, which could limit their independence and ability to bathe safely. A handheld showerhead is generally more suitable as it enables the client to direct the water flow where needed.
B. A long-handled sponge allows the client to reach different parts of their body without requiring significant movement, making bathing easier and more manageable. It promotes independence and safety, especially for clients with limited mobility.
C. This temperature is too high and poses a risk of burns or scalding, especially for clients with spinal cord injuries who may have impaired sensation. The water temperature should be lower, typically around 37-40°C (98.6-104°F), to prevent injury.
D. While bar soap can be used, it may not be the best option for individuals with limited hand function or dexterity. Liquid soap or body wash may be easier to handle and use, promoting independence and reducing frustration.

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A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

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Explanation

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Correct Answer is B

Explanation

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