A client with type 1 diabetes mellitus has developed an open sore ...

[jhjkgdfhk]

A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercising. The client is scheduled for discharge in a couple of day.
 
  When planning for this client's continued care, who will the nurse notify regarding the client's needs after discharge?
  A) The pharmacy
  B) The case manager
  C) The occupational therapist
  D) The physical therapist

Question 2

During a health history a client becomes upset because the nurse is asking many questions. Which response by the nurse is the most appropriate in this situation?
 
  A) I use the answers you provide to determine what your current health needs are.
  B) I am sorry the questions disturb you.
  C) I will skip the questions that bother you.
  D) I cannot help you if you do not answer me.

[parker125]

Answer to Question 1

Answer: B

The client's needs and progress have 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 individual to coordinate this change.

Answer to Question 2

Answer: A

Many clients may see the health history as an intrusion. The nurse would explain the reason for the questions so the client understands why the questions are being asked. Apologizing to the client is not really appropriate, as the nurse needs information about the client. Skipping questions could cause the nurse to miss areas of client need. Telling the client that the nurse cannot help without answers to the questions is true, but can be seen as a threat and would not be considered a therapeutic response.

[jhjkgdfhk]

TYSM

[kswal303]

Thanks for the timely response, appreciate it