A patient inquires about eligibility for home health care. What should the nurse explain is the criteria for skilled home health care? (Select all that apply.)
a. Annual income less than $20,000
b. Need for physical or speech therapy
c. Nonavailability of transportation
d. Must be homebound
e. Need for wound dressing changes
B, D, E
Eligibility for skilled care from a home health care aide includes the need for nursing care for IV therapies, respirators, wound dressing changes, and physical or speech therapy. No requirement relative to low income or the lack of transportation exists, but the patient must be homebound.
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The nurse is working on a busy cardiac unit caring for four hypertensive clients. Which client description would the nurse assess first because the client is at an increased risk for malignant hypertension?
A) A client with anorexia and history of no healthcare insurance B) A client with liver dysfunction who drinks alcohol daily C) A schizophrenic residing at an assisted living facility D) A client with chronic asthma who uses a corticosteroid inhaler
A client discharged from the hospital is now at home. The client requires assistance in relation to the treatment prescribed by the physician. The client needs information quickly. Which service best suits this client's needs?
A) Home healthcare service B) Telehealth C) Hospice care service D) Community health service
Considering the mediating factors of premenstrual syndrome (PMS), which medication may be used either continually or only during the menstrual period as a treatment for the condition?
a. NSAIDs b. Estrogen c. SSRIs d. Progesterone
A patient who takes digoxin reports taking psyllium (Metamucil) three or four times each month for constipation. The primary care NP should counsel this patient to:
a. decrease fluid intake to avoid cardiac overload. b. change the laxative to docusate sodium (Colace). c. take the digoxin 2 hours before taking the psyllium. d. ask the cardiologist about taking an increased dose of digoxin.