An older adult client who cares for her husband at home has just learned that she needs to have knee replacement surgery. She tells the nurse she is concerned about her inability to provide care to her husband while she recovers from surgery and attends physical therapy. She has a friend who can drive her to and from her appointments once she is discharged, but cannot provide the care her husband needs. How should the nurse respond to the client?
Tell her to consider hiring a private nurse during the postoperative convalescence.
Suggest contacting social services to help find a respite care facility for her husband.
Advise to have a case management evaluation of the client's home environment.
Recommend that the client's family return to the area to help provide assistance.
The Correct Answer is B
A. Hiring a private nurse may be an option but is not the most immediate or practical solution given the client's current resources and concerns.
B. Suggesting contacting social services to find respite care is a practical and immediate solution to ensure her husband’s care while the client recovers.
C. A case management evaluation is helpful but may not address the immediate need for respite care during the client's recovery period.
D. Recommending that the family return might not be feasible or immediate, and respite care can provide the necessary support during recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ensuring medications are kept in a safe place is important but may not directly impact safety in the milieu.
B. Replacing paper trash bags with biohazard bags is unnecessary unless there is a specific reason related to infection control.
C. Removing soft drink cans can prevent them from being used inappropriately (e.g., for self-harm or as weapons), contributing to a safer environment.
D. Taking the client's cellular telephone and providing a room telephone may be necessary for some clients but is not a universal safety measure.
Correct Answer is C
Explanation
A. The administration of intramuscular injections can be handled by a practical nurse.
B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.
C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.
D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.
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