A nurse conducted a comparative study of two nursing homes, Home ...

[Deast7027]

A nurse conducted a comparative study of two nursing homes, Home 1 and Home 2, in different parts of the same city.
 
  Results of the study showed that the two homes had different kinds of residents: Residents in Home 1 had held blue-collar jobs, and those in Home 2 were better educated and had had higher incomes. Residents in Home 1 also were more likely than those in Home 2 to have hearing deficits. The most likely reason for the difference in residents is that those in Home 1: A) Had been exposed to more ototoxic drugs
  B) Were receiving poorer care
  C) Had smoked cigarettes for a longer time
  D) Had been exposed to more noise

Question 2

After an acute onset of confusion, a 90-year-old female resident of an apartment was admitted to hospital for treatment of a urinary tract infection, and the care team is suggesting that she be discharged home to complete her recovery with oral
 
  antibiotics and her urinary catheter still in place. Which of the following aspects of the woman's situation would be the nurse's priority in predischarge planning and assessment? A) The quality and quantity of assistance that the woman has at home.
  B) The woman's cognitive status and the resolution of her infection-induced delirium.
  C) The woman's understanding of the function and care of her catheter.
  D) The woman's fluid balance in the 24 hours prior to discharge.

[lucas dlamini]

Answer to Question 1

D
Feedback:
Blue-collar workers are more likely to be exposed to the noise from construction, heavy machinery, and guns. Ototoxic drugs can cause hearing problems but are not associated with lower incomes. Choices B and C might be true statements but have no connection with hearing impairment.

Answer to Question 2

A
Feedback:
While all of the options are valid and relevant parameters for assessment, the nurse's priority would be to determine the amount of assistance that the client has at home and thus help determine her suitability for discharge.