A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Contact the case manager to discuss discharge options.

Recommend the partner place the client in a long-term care facility.

Request another family member assist the client's partner with care.

Ask the provider to delay the client's discharge home for a few more days

Answer and Explanation

The Correct Answer is A

A.   Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B.   Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C.   Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D.   Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.

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Correct Answer is D

Explanation

A. Implementing a fall prevention plan is an important step but comes after identifying those at risk.
B. Reviewing current literature is important for understanding evidence-based practices, but it should come after identifying and assessing the specific risk factors in the facility.
C. Notifying staff of the increased fall rate is essential but doesn't directly address the root cause; it's more reactive than proactive.
D. Identifying clients who are at risk for falls is the initial step to intervene and prevent further incidents, forming the foundation for a targeted fall prevention plan.

A. Contact the nurse manager. B. Call risk management to interview the client. C. Reassure the client that the staff is well trained. D. Document in the client's chart that an incident report has been filed.

Correct Answer is A

Explanation

A. Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B. Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C. Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D. Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.

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A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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