A nurse working on a medical-surgical unit is developing a discharge plan for a client who has left-sided hemiplegia following a stroke. Which of the following actions is the nurse’s priority?
Consult with a case manager about insurance coverage.
Counsel caregivers about respite care options.
Refer the client to a local stroke support group.
Ensure that the client has a referral for physical therapy.
The Correct Answer is D
A. Financial planning is important but not the immediate safety priority.
B. Respite care supports caregivers but does not directly impact client safety or recovery.
C. Support groups assist with long-term coping, not early functional recovery.
D. Physical therapy is essential for a client with hemiplegia to prevent contractures, improve mobility, and promote independence. Early rehabilitation enhances recovery and prevents complications such as deep vein thrombosis and muscle atrophy.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Having a UAP stay daily is not realistic or necessary for all elderly clients. Home assistance is typically scheduled for specific needs, not for constant presence.
B. Weekly contact with family offers emotional support but does not ensure safety in case of a fall or emergency.
C. A personal emergency response system (PERS) enables the client to quickly summon help after a fall or medical emergency. This promotes safety and independence while addressing the client’s anxiety about living alone.
D. Moving to a skilled nursing facility is not indicated solely due to fear of falling. Interventions should first focus on maintaining safety and independence in the client’s current home.
Correct Answer is D
Explanation
A. This dismisses the client’s feelings and provides false reassurance instead of addressing the concern.
B. Asking “why” can sound confrontational and may discourage open communication.
C. This assumes the provider’s decision is best without considering the client’s perception, violating the nurse’s role as advocate.
D. Informing the provider of the client’s concerns demonstrates advocacy—the nurse supports the client’s right to participate in their care and ensures their voice is heard in discharge planning.
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