A client who has diabetes mellitus has developed an open sore on a foot and is having trouble meeting goals for exercising. After the client spends a week in the hospital receiving wound care and antibiotics, the nurse decides to notify:
1. The physical therapist.
2. The pharmacy.
3. The case manager.
4. The occupational therapist.
3. The case manager.
Rationale:
The client's needs and progress has changed. The nurse notifies the case manager to coordinate changes in care needed after discharge. A physical therapist may be needed, but the nurse would coordinate care best by notifying the case manager. The pharmacy is not needed as part of the team at this time. The occupational therapist mainly deals with the upper body areas needing rehabilitation. This client's exercise program needs to be revamped, and the case manager is the person to coordinate this change.
You might also like to view...
The nurse is to ambulate a client who has an IV in her arm, an indwelling urinary catheter, and a chest tube. What action is appropriate for the nurse to take?
a. Hold the IV so it is higher than the client's heart while ambulating. b. Empty the urinary drainage bag before ambulating. c. Empty the closed chest drainage system before ambulating. d. Hold the closed chest drainage system above the client's chest level while ambulating.
An 80-year-old patient with diminishing cognitive function is being discharged into the care of his 72-year-old spouse. The nurse recognizes that besides the spouse's physical ability to provide appropriate care, there is a need to evaluate the
a. couple's financial resources. b. couple's social support system. c. spouse's cognitive level of function. d. patient's long-term health prognosis.
Which of the following nursing interventions is appropriate when a client has a seizure?
A) Restrain the client. B) Loosen any clothing around the neck and chest. C) Insert a tongue blade into the client's mouth. D) Turn the client to the supine position, if possible.
A nurse has just administered a barbiturate to an elderly debilitated patient. The nurse understands that the patient is likely to exhibit
a. suicidal tendencies. b. hangover effects. c. paradoxical excitement. d. hyperalgesia.