The nurse is discharging a client with emphysema who is on continuous oxygen. The case manager alerts the nurse that the home oxygen will not be delivered until 2 hours later. What action should the nurse take?

Question

The nurse is discharging a client with emphysema who is on continuous oxygen.  The case manager alerts the nurse that the home oxygen will not be delivered until 2 hours later.  What action should the nurse take?

Quizplus · Accepted Answer

The nurse (with the case manager) needs to assure that the client has the essential equipment/supplies for a smooth discharge into the home environment. The safest option is to delay discharge until that can be accomplished. (Option A) It is not appropriate to ask the client to go without the oxygen as it would mean not following the client's prescription. The client could arrive home and then require oxygen due to additional exertion. (Option C) The issue is not the client's need or the prescription but the logistics of implementation. There is no need to involve the HCP as the solution is within the nurse's abilities and control. (Option D) If the nurse sends the hospital oxygen tank home with the client, the question of how it will be returned remains. It is safer and more reasonable to delay the discharge. Educational objective: A client should not be allowed to leave until essential home supplies and equipment have been made available for a safe discharge.

The Nurse Is Discharging a Client with Emphysema Who Is