The nurse is collecting information to plan care for a client with a heart problem. Which information indicates that planning for this client's discharge was started by the nurse?
1. The client is scheduled for cardiac catheterization and echocardiogram.
2. Recent laboratory data indicates the development of heart failure.
3. The client does not have a scale to perform daily weights at home.
4. The client's spouse has care needs that the client will not be able to complete going forward.
5. The client is pleasant and eager to learn how to control newly diagnosed health problem.
Correct Answer: 3, 4
Rationale 1: The client's current treatment plan is not a part of discharge planning.
Rationale 2: The client's current health status is not a part of discharge planning.
Rationale 3: Effective discharge planning begins at first client contact and involves comprehensive and ongoing assessment to obtain information about the client's ongoing needs. The lack of a scale at home for daily weights indicates that the nurse is planning ahead for the client's needs once discharged.
Rationale 4: Effective discharge planning begins at first client contact and involves comprehensive and ongoing assessment to obtain information about the client's ongoing needs. Concern about the client's activity level at home indicates planning ahead for the client's needs once discharged.
Rationale 5: The client's personality and desire to learn more about the health problem is not a part of discharge planning.
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