An 80-year-old patient fell and fractured her hip and is now in the hospital. Before the fall, she lived at home with her husband and managed their activities of daily living very well
The goal is for the patient to recover from the injury and return to her home. The hospital is ready to discharge her because she has exceeded the recommended length of stay in a hospital. However, she cannot walk or care for herself yet, and she will require lengthy physical therapy and further monitoring of her medications and her physical and mental status. To which type of facility should she be transferred?
a. Nursing home
b. Rehabilitation center
c. An outpatient therapy center
d. None of these; she should receive home healthcare
B
A skilled nursing facility (e.g., a rehabilitation center) primarily provides skilled nursing care for patients who can be expected to improve with treatment. For example, a patient who no longer needs hospitalization may transfer to a skilled nursing facility to receive skilled care until she is able to return home. A nursing home provides custodial care for people who cannot live on their own but who are not sick enough to require hospitalization. It provides a room, custodial care, and opportunity for recreation. This patient cannot ambulate or perform activities of daily living, so outpatient therapy and home care would not be appropriate.
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The nurse is assigned two clients. One client needs postoperative teaching in preparation for discharge and the other client with pneumonia has a PaCO2 of 85. Why does the nurse decide to see the client with pneumonia first?
A) The nurse can delegate postoperative teaching to unlicensed assistive personnel (UAP). B) The client with pneumonia needs more care than the client needing postoperative teaching. C) The client with pneumonia may be experiencing respiratory distress. D) The room of the client with pneumonia is closer than that of the client needing postoperative teaching.
A data collection protocol calls for a questionnaire to be administered to patients having knee replacement surgery after the third physical therapy appointment. Errors can be introduced into the study by
a. giving the questionnaire to all participants. b. reading the questionnaire to the participants with poor reading skills. c. giving the questionnaire to all participants when they arrive for their appointment. d. giving the questionnaire to the participants after the appointment to be completed while they have a snack.
A nurse is making a bed; the top covers are pulled up to the head of the bed over the
bottom covers. What kind of a bed is the nurse making? A) An open bed B) An occupied bed C) A postoperative bed D) A closed bed
When making observations, you should note the
A. patient, the environment, and the other staff. B. physician's orders. C. patient, response to treatment, and environment. D. normal adult values only.