A client with Parkinson’s disease (PD) is being discharged home with his wife. To ensure success with the management plan, which discharge action is most effective?
Telling his wife what the client needs.
Setting up visitations by a home health nurse.
Involving the client and his wife in developing a plan of care.
Writing up a detailed plan of care according to standards.
The Correct Answer is C
Choice A Reason:
Telling his wife what the client needs is not the most effective discharge action. While it is important for the wife to understand the client’s needs, this approach is too passive and does not actively engage the client or his wife in the care process. Effective management of Parkinson’s disease requires active participation from both the client and the caregiver to ensure adherence to the care plan and to address any concerns or preferences they may have.
Choice B Reason:
Setting up visitations by a home health nurse can be beneficial, but it is not the most effective discharge action on its own. Home health nurses can provide valuable support and monitoring, but the success of the management plan also depends on the involvement and commitment of the client and his wife. Without their active participation, the care plan may not be fully effective.
Choice C Reason:
Involving the client and his wife in developing a plan of care is the most effective discharge action. This approach ensures that both the client and his wife are fully engaged in the care process, understand the management plan, and are more likely to adhere to it. Collaborative care planning allows for the consideration of the client’s and caregiver’s preferences, needs, and concerns, leading to a more personalized and effective care plan. This active involvement can also empower the client and his wife, improving their confidence in managing the disease.
Choice D Reason:
Writing up a detailed plan of care according to standards is important, but it is not the most effective discharge action if done in isolation. A standardized care plan may not address the unique needs and preferences of the client and his wife. Without their involvement in the development of the plan, there may be a lack of understanding or commitment to the care plan, reducing its effectiveness. Personalizing the care plan through active involvement of the client and his wife is crucial for successful management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31"]
Explanation
Let’s calculate the IV infusion rate step by step.
Step 1: Determine the total volume to be infused.
The total volume ordered is 1,000 mL.
Step 2: Determine the total time for the infusion.
The total time is 8 hours.
Step 3: Calculate the infusion rate in mL per hour.
Total volume (1,000 mL) ÷ Total time (8 hours) = 125 mL per hour.
Result: 125
Step 4: Determine the drop factor.
The IV tubing delivers 15 drops per milliliter.
Step 5: Calculate the infusion rate in drops per minute.
Infusion rate (125 mL per hour) × Drop factor (15 drops per mL) = 1,875 drops per hour.
Result: 1,875
Step 6: Convert the infusion rate to drops per minute.
Total drops per hour (1,875 drops) ÷ 60 minutes = 31.25 drops per minute.
Result: 31.25
Step 7: Round the result to the nearest whole number if necessary.
31.25 rounded to the nearest whole number is 31.
The nurse should run the IV infusion at a rate of 31 drops per minute.
Correct Answer is ["B","C","G"]
Explanation
Choice A Reason:
Breath sounds diminished on auscultation indicate that there may still be fluid or air in the pleural space, suggesting that the chest tube is still needed to drain the pleural cavity. This is not an appropriate reason to discontinue a chest tube as it indicates ongoing issues that need to be resolved.
Choice B Reason:
Improved respiratory status is a key indicator that the chest tube has successfully resolved the underlying issue, such as a pneumothorax or pleural effusion. When the patient shows signs of stable and improved breathing, it suggests that the chest tube has served its purpose and can be safely removed.
Choice C Reason:
Symmetrical rise and fall of the chest during respiration indicate that both lungs are expanding and contracting normally. This symmetry is a sign that the pleural space is no longer compromised, making it an appropriate reason to remove the chest tube.
Choice D Reason:
Oxygen saturation at least 90% is a general indicator of adequate oxygenation but does not specifically address the condition of the pleural space. While important, it is not a direct reason to discontinue a chest tube without other supporting signs.
Choice E Reason:
Continuous bubbling in the water seal chamber indicates an ongoing air leak, which means that the chest tube is still necessary to evacuate air from the pleural space. This is not an appropriate reason to remove the chest tube.
Choice F Reason:
An asymmetrical chest on inspiration and expiration suggests that there is still an issue with lung expansion, possibly due to fluid or air in the pleural space. This condition requires the chest tube to remain in place until resolved.
Choice G Reason:
Bilateral breath sounds clear on auscultation indicate that both lungs are free of fluid and air, and are functioning normally. This is a strong indicator that the chest tube has achieved its purpose and can be safely removed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today