After an acute onset of confusion, a 90-year-old female resident of an apartment was admitted to hospital for treatment of a urinary tract infection, and the care team is suggesting that she be discharged home to complete her recovery with oral
antibiotics and her urinary catheter still in place. Which of the following aspects of the woman's situation would be the nurse's priority in predischarge planning and assessment? A) The quality and quantity of assistance that the woman has at home.
B) The woman's cognitive status and the resolution of her infection-induced delirium.
C) The woman's understanding of the function and care of her catheter.
D) The woman's fluid balance in the 24 hours prior to discharge.
A
Feedback:
While all of the options are valid and relevant parameters for assessment, the nurse's priority would be to determine the amount of assistance that the client has at home and thus help determine her suitability for discharge.
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