The nurse learns that a home care client is diluting prescribed nutritional supplements because of the cost. What should the nurse do to advocate for this client?
1. Help the client look for available community resources that may be of assistance.
2. Tell the client that she needs to take the prescribed amount.
3. Report the situation to the physician.
4. Weigh the client on a weekly basis to monitor weight gain or loss.
Correct Answer: 1
Rationale 1: Resource allocation and financial considerations are major issues in home health care. When clients are in their own home, they operate from their own values and client autonomy must be respected. Community resources may be of benefit for this client to be able to afford the proper supplement at the correct dose or to provide assistance in other financial areas so the client has the treatment needs met.
Rationale 2: The client already knows she should take the prescribed amount.
Rationale 3: Telling the physician will not help to solve the situation.
Rationale 4: Weighing the client merely assesses the need, which has already been established.
You might also like to view...
What does nonlinear dynamics of organizational change imply about change?
A) Occurs in sequential steps B) Is predictable C) Should rely on policies and hierarchies D) Is most powerful at the micro level
A 35-year-old kidney transplant patient comes to the clinic complaining of skin lesions. The diagnosis is Kaposi's sarcoma. As the nurse caring for this patient you know that this is what type of Kaposi's sarcoma?
A) Classic B) AIDS-related C) Immunosuppression-related D) Endemic
When a patient has a weak leg, you should
A. never transfer the patient alone. B. move the patient toward the weak side. C. brace the patient's weak leg with your leg. D. avoid using a transfer belt.
The nurse identifies the diagnosis of decreased cardiac output as being appropriate for a patient with an acute dysrhythmia. Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)
a. Monitor radial pulse. b. Monitor apical pulse. c. Monitor lung sounds. d. Monitor level of consciousness. e. Encourage patient to increase activity level. f. Observe for adverse reactions to medications.