A client who is being discharged from the hospital will need follow-up for wound care. The client's spouse is not capable of providing bed baths for the client
The nurse case manager who is planning care for this client should contact which agency? 1. Long-term-care facility
2. Public health department
3. Temporary service agency
4. Home health agency
4
Rationale 1: Long-term-care facilities are used for rehabilitation and care needed for extended periods. There is no evidence that this client will be unable to care for self after recovery.
Rationale 2: The public health department's focus is usually community health, not individual primary care.
Rationale 3: Temporary service agencies are used to provide health care organizations with professional and nonprofessional personnel when the latter are short staffed.
Rationale 4: With shorter hospital stays, home health agencies are frequently used to provide clients with intermittent or temporary follow-up care such as wound care and bathing.
Global Rationale:
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The laboring client has experienced spontaneous rupture of membranes. The fluid is meconium-stained. The fetal heart tones are 100–105. Which nursing action is most important?
1. Change the mother's position from Fowler's to left lateral. 2. Insert a Foley catheter with the assistance of another nurse. 3. Notify the surgical team of an impending cesarean. 4. Decrease the IV of lactated Ringer's solution to 50 ml/hour.
Why should the nurse advise periodic blinking to a client who works in a dusty outdoor environment?
A) To control the amount of sunlight that enters the eye B) To minimize the impact of the wind on the eye and to trap foreign debris C) To clear the dust and particles from the surface of the eyes D) To prevent the collection of tears over the surface of the eye
A baby in the nursery is 18 hours old. Which piece of information would be most essential to pass on to the next shift?
a. Infant has milky discharge from the nipples. b. Infant has not voided. c. Infant has polydactyly on each hand. d. Testes are descended on only one side.
During an initial interview, the client makes this statement: "I don't understand why I have to have surgery, I'm really not that sick or in pain right now." The nurse's best response is:
A) "I think these are things you should be asking your doctor." B) "What kind of questions do you have about your surgery?" C) "Have you had surgery before?" D) "It's OK to be worried. Surgery is a big step."