According to the care plan, a client is to receive chest physiotherapy twice daily. The client lives alone in a rural area, does not drive, and is 40 miles away from a hospital. What should the home care nurse do when setting priorities for this client?
1. Make sure that he or she is able to get to the client's home.
2. Assist the client in finding an alternative plan for the achieving the therapy's outcomes.
3. Tell the client that this therapy will be impossible to receive.
4. Make arrangements to have the client moved to a long-term care facility.
Correct Answer: 2
Rationale 1: Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered.
Rationale 2: The nurse must consider a variety of factors when assigning priorities, including resources available to the nurse and client. Factors in this case include the distance between the client's home and the hospital and the fact that therapy is ordered on a twice-daily basis. Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered (e.g., a neighbor who might be willing to drive the client, or someone in the area who may be able to assist with the therapy).
Rationale 3: Telling the client that the therapy is impossible is premature at this point in time.
Rationale 4: Making arrangements for the client to move is premature at this point in time.
You might also like to view...
The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms:
A) Yearly after age 40 B) After the birth of the first child and every 2 years thereafter C) After the first menstrual period and annually thereafter D) Every 3 years between ages 20 and 40 and annually thereafter
The nurse is admitting a patient to the unit who is scheduled for removal of an intracranial mass. What diagnostic procedures might be included in this patient's admission orders? (Mark all that apply.)
A) Transcranial Doppler flow study B) Cerebral angiography C) MRI D) Cranial radiography E) EMG
The nurse is using the Glasgow coma scale to monitor the neurologic status of a child with a head injury. What does this scale measure?
A) Verbal and motor responses B) Used one or two times a day to note changes in the neurologic status C) Compare the child's results with other children of the same age D) Monitors the child's vision by using a bright flashlight
When performing the handwashing procedure, keep the hands pointed ____________________.
Fill in the blank(s) with the appropriate word(s).