While the home health nurse is doing the entry to service assessment on a home-bound patient, the wife of the patient asks whether Medicare will cover the patient's ventilator therapy and his insulin injections. The nurse responds:
1. "Yes, Medicare will cover both the ventilator therapy and the insulin injections."
2. "No, Medicare will not cover either of these ongoing therapies."
3. "Medicare will cover ventilator therapy but not insulin injections."
4. "Medicare will cover ongoing insulin therapy, but not a highly technical skill such as ventilator therapy."
3
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can be taught to the family or the patient are not covered.
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The nurse is assessing the abdomen of a pregnant woman who is complaining of having "acid indigestion" all the time. The nurse knows that esophageal reflux during pregnancy can cause:
a. Diarrhea. b. Pyrosis. c. Dysphagia. d. Constipation.
What is the rationale for administering injections of vitamin B12 to patients with pernicious anemia?
a. The patient's body does not normally manufacture enough vitamin B12. b. The patient may lack the intrinsic factor necessary for vitamin B12 absorption. c. Vitamin B12 is found in very small quanti-ties in the patient's body. d. Vitamin B12 is a mineral necessary to aid in the formation of strong bones.
An advance directive is defined as:
a. A written expression of a person's wishes about medical care, especially during a terminal or critical illness b. A written expression detailing how to dispose of a person's worldly goods c. A written document providing trust funds for minor children d. Written instructions regarding how a person wishes his or her remains to be disposed of
The nurse is teaching a young adult couple about promoting the health of their 8-year-old child. The nurse knows that the parents understand the developmental stage their child is in according to Erikson when they state, "We should
a. Provide proper support for learning new skills." b. Encourage devoted relationships with others." c. Limit choices and provide harsh punishment for mistakes." d. Not leave our child at school for longer than 3 hours at a time."