A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?
A 35-year-old patient with stable chronic hypertension and no recent medication changes
A 25-year-old patient with acute respiratory symptoms and a history of asthma, seeking medication adjustment
A 45-year-old patient recovering from surgery, needing wound assessment and dressing changes
A 70-year-old patient with a history of congestive heart failure, recently discharged from an acute care facility
The Correct Answer is B
A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Poor sanitation is typically categorized under the Environmental Domain in the Omaha System, as it pertains to the physical environment and its impact on health.
B. Anxiety and Depression fall under the Psychosocial Domain, which includes mental health issues and emotional well-being. These conditions affect the individual's psychological state and social interactions.
C. Multiple skin breakdowns are classified under the Physiological Domain, as they relate to physical health and body integrity.
D. Coping difficulties are also categorized under the Psychosocial Domain, as they pertain to an individual's ability to handle stress and manage emotional challenges.
E. Social Isolation is part of the Psychosocial Domain, since it involves an individual's social interactions and support systems, impacting their emotional and psychological well-being.
Correct Answer is B
Explanation
A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.
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