Author Question: A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, ... (Read 142 times)

dalyningkenk · **on:** Jun 28, 2018

A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?

1. Parents' insurance
2. Parents' income
3. Readiness of the home for the child who is returning home from the hospital
4. Parents' home location

Question 2

Which of the following would most likely lead to functional disability of deafness or blindness?

1. Sepsis contracted as a toddler
2. Pneumonia from haemophilus influenzae virus
3. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
4. Fractured femur

nital · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3
Rationale 1: The nurse would not assess the parents' insurance. Social workers might assist the parents in this area.
Rationale 2: The nurse would not assess the income of the parents. Social workers might assist in this arena.
Rationale 3: When working with the hospital discharge planner to initiate home health care services, the nurse should assess the home readiness (safe sleeping arrangements, adequate supplies, ability to meet nutritional and fluid needs, telephone access, heat, electricity, refrigeration, lack of communicable disease in the home, and safe access in and out of the home).
Rationale 4: The home location is assessed only insofar as determining whether heat, electricity, water, and the necessary services are available in the location.
Global Rationale:

Answer to Question 2

3
Rationale:
1. Sepsis is not a chronic condition.
2. Pneumonia is treatable, and is not a chronic condition.
3. Fetal insult when the mother contracted rubella in the first trimester of pregnancy can lead to deafness or blindness.
4. A fractured femur is not a chronic condition.