The nurse is preparing to discharge a new laryngectomee. Which of the following assessment findings would cause the nurse to suggest home care follow-up?
a. The patient has used home oxygen in the past.
b. The patient has a history of noncompliance with medications.
c. The patient has a history of migraine headaches.
d. The patient lives in an apartment with a friend.
ANS: B
A history of noncompliance with medications may predict risk of noncompliance with tracheostomy care—which could risk infection and even death. Follow-up is needed to assess compliance at home. Migraine headaches and oxygen use at home do not necessarily require skilled home nursing. Living with a friend is not an issue unless further assessment reveals a problem.
You might also like to view...
The nurse is reviewing safety concerns throughout the lifespan. List the following in order of appropriate age, from youngest to oldest. Standard Text: Click and drag the options below to move them up or down. Choice
1. Encourage counseling for issues with addiction coping Choice 2. Teach about stranger danger Choice 3. Reinforce importance of safety restraints in the vehicle Choice 4. Make certain walkways, stairways are well lighted, uncluttered Choice 5. Teach safety rules for recreational and sports activities Choice 6.
The client is visiting the healthcare provider's office for a head-to-toe assessment. During the nurse's assessment of the client's skin, the nurse notes that the client is pale
Which of the following findings may be related to the client's color? Standard Text: Select all that apply. 1. Client's blood pressure is 96/62. 2. The client states, "I just smoked a cigarette before I came in the office.". 3. The client's oxygen saturation level is 86% on room air. 4. The client states, "I have been diagnosed with osteoporosis.". 5. The client states, "It is snowing again outside with a wind chill factor of –11 degrees Fahrenheit.".
The nurse is caring for a patient diagnosed with Alzheimer disease. What does the nurse understand to be objectives identified for Alzheimer disease as defined by Healthy People 2020? Select all that apply.
A) Reduce the proportion of preventable hospitalizations in adults aged 65 and older with diagnosed Alzheimer disease or other dementias. B) Reduce the proportion of preventable cases of Alzheimer disease and other dementias in adults aged 65 and older. C) Increase the number of adults aged 65 and older on active pharmacological treatment for Alzheimer disease and other dementias. D) Increase the proportion of adults aged 65 and older with diagnosed Alzheimer disease and other dementias, or their caregivers, who are aware of the diagnosis. E) Reduce the proportion of adults aged 65 and older who require long term care as a result of Alzheimer disease or other dementias.
The nurse transcribes a new order for a patient for a fludrocortisone. When planning the time of administration, the nurse will schedule this medication to be given
a. with breakfast and dinner. b. once daily in the evening. c. before meals. d. with lunch.