Question 1

The nurse working in an acute care hospital is considering a position working with patients in the community. What care settings should the nurse consider before making a final decision?

Accepted Answer

The answer of The nurse working in an acute care...

Question 2

The nurse is determining if a patient recovering from abdominal surgery is a candidate for home care. Which information should the nurse use to help make this decision?

Accepted Answer

A) Patients needing intermittent skilled nursing care can be candidates for home care, as these services can be provided by home health nurses. B) Choosing an agency that is Medicare certified is relevant because it indicates the patient is looking for services that may be covered by Medicare, aligning with home care services. E) If a patient is unable to change their wound dressing due to limited mobility, they may require home health services to assist with wound care, making them a candidate for home care.

Question 3

A patient recovering from total hip replacement surgery is being transferred to a rehabilitation facility. When discussing this facility with the patient, what should the nurse include?

Accepted Answer

An assessment of functional abilities (A) is crucial to tailor the rehabilitation program. A team of therapists and nurses (C) will collaborate to support the patient's recovery. The focus on interpersonal relationships and family support (D) is important for holistic rehabilitation.

Question 4

The nurse notes that a patient with osteoarthritis receiving transition care has achieved the goals for this care delivery approach. What did the nurse observe to come to this conclusion?

Accepted Answer

The answer of The nurse notes that a patient with...

Question 5

The nurse is visiting the home of a patient recovering from an acute gastrointestinal bleed. Which actions should the nurse take to limit distractions during this home visit?

Accepted Answer

Turning off the television and moving to a quiet area away from distractions will help the nurse to focus on the patient's needs and provide the necessary care without interruptions. Establishing goals, explaining the primary goal of home care, and exploring expectations are important components of the nursing process but are not specifically related to limiting distractions during the home visit.

Question 6

While making a home visit the nurse learns that a patient self-administering insulin injections is placing the used needles and syringes in the family's trash can. What action should the nurse take?

Accepted Answer

The nurse should teach the patient to place all used syringes and needles into a red biohazard sharps box because these items can transmit infections and should be disposed of safely. Placing them in a separate plastic bag or saving them for the nurse to dispose of may also be acceptable options, but placing them in a red biohazard sharps box is the safest and most appropriate method of disposal. Doing nothing is not an acceptable option as it poses a risk to the general population.

Question 7

The primary caregiver for a patient with stage 3 Alzheimer disease receiving care in the home wants to attend a granddaughter's high school graduation in a city 50 miles from the patient's home. What should the home care nurse suggest so that the caregiver can attend this event?

Accepted Answer

The best option would be to schedule respite care for the caregiver during the time of the granddaughter's graduation. This will allow the caregiver to attend the event without worrying about the patient's care. Admitting the patient to hospice or an inpatient facility may not be necessary for stage 3 Alzheimer's and transporting the patient to the graduation may not be feasible or safe.

Question 8

During a home visit the nurse notes that the caregiver does not apply clean gloves before removing the patient's leg wound dressings. What should the nurse do to encourage infection control practices in this home?

Accepted Answer

Placing the box of gloves next to the bag used to discard soiled dressings will remind the caregiver to use gloves and dispose of them properly, which will help prevent the spread of infection. Just placing the box of gloves in the bathroom (A) or reminding the caregiver to wash hands (B) may not address the specific issue of not using gloves during wound care. Encouraging the caregiver to touch only the edges of the soiled dressings (D) is a good practice, but using gloves should still be emphasized.

Question 9

After completing a home assessment the nurse determines that safety hazards exist in a patient's bathroom. What did the nurse assess to come to this conclusion?

Accepted Answer

The answer of After completing a home assessment the nurse...

Question 10

The nurse is preparing to transition a patient with chronic obstructive pulmonary disease from a rehabilitation facility back to home. What preparations has the nurse made to support this patient's transition?

Accepted Answer

The nurse has prepared for the patient's transition by instructing on symptoms to report (A), scheduling healthcare provider visits (B), and creating an evidence-based plan of care (D). These actions are directly related to ensuring the patient's ongoing care and monitoring after leaving the rehabilitation facility.

Quiz 3: Health and Illness Care of Adults