The home care nurse is visiting a patient who was discharged to home after a procedure at an ambulatory surgical center
The patient lives alone in a senior retirement community. The nurse's assessment docu-ments mild dysphasia. The patient repeatedly asks, "Why is there a bandage on my arm?" and is not able to state the appropriate day and year. Appropriate planning for the patient should include:
a. Assessing diet and meal preparation, assessing environment for safety problems, referral to a dementia program
b. Attending English class to improve speech, transferring finances to a conservator, employing an aide to help with medications
c. Arranging Meals on Wheels, attending speech therapy, relocation to a skilled nursing facility if no improvement in 1 month
d. Arranging an appointment at a geriatric assessment program, OT referral for swallowing therapy, teaching to manage public transportation
ANS: A
Further assessment is appropriate before making changes in the living environment. Enrolling in a dementia program will provide stimulation and help the patient maintain intellectual skills. English classes will not improve speech. The other plans might have relevance, howev-er. The remaining sets of options are either irrelevant or beyond the patient's abilities.
You might also like to view...
A patient asks the nurse to promise that nothing bad will happen while the patient is under anesthesia for a surgical procedure
The patient is creating a conflict in which of the nurse's ethical principles? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fidelity 2. Respect for others 3. Paternalism 4. Veracity 5. Autonomy
A nurse is assisting an employer who has hired an individual who has been recently diagnosed with HIV. Which of the following interventions would be most appropriate for the nurse to im-plement?
a. Educate about how to reduce the risk of breaching the employee's confidentiality b. Explain how to inform coworkers about avoiding HIV transmission c. Facilitate obtaining medical insurance coverage for the HIV-infected employee d. Describe the early signs and symptoms of HIV infection
The primary reason a client with chronic obstructive pulmonary disease (COPD) often experienc-es fatigue and activity intolerance is related to:
1. The increased presence of surfactant that results in "sticky" alveoli 2. The presence of chronic infections in the lungs and bronchial tree 3. The extra energy that is needed to exhale the air from the damaged lungs 4. The client's elevated anxiety level related to the air hunger being experienced
The home health nurse is making an initial call on a newly diagnosed tuberculosis (TB) patient. The patient lives with his wife and child. Which infection control instructions should the nurse include in the teaching plan? (Select all that apply.)
a. Place contaminated tissues in sealable plastic bag. b. Take medications exactly as directed. c. Implement airborne precautions. d. Wash hands frequently. e. Wear a mask when in crowds.