An older adult with two grown children is being discharged home ...

[luminitza]

An older adult with two grown children is being discharged home and will need insulin injections and some assistance with activities of daily living. The patient's son lives within 5 km of the patient's home.
 
  The daughter tells the nurse that she doesn't know how to handle her parent's and her own children's needs. What should be the nurse's initial response? a. Work with the family in supporting caregivers.
  b. Tell the daughter to look into nursing home placement immediately.
  c. Arrange for the patient to remain in the medical centre.
  d. Make beneficial decisions for the family on how to manage the care at home.

Question 2

Which of the following are methods to reduce the risk of needlestick injury? (Select all that apply.)
 
  a. Recap the needle after giving an injection.
  b. Have sharps boxes emptied when three-quarters full.
  c. Use two hands to dispose of sharps into the disposal.
  d. Never force a needle into the sharps disposal.
  e. Clearly mark sharps disposal containers.
  f. Use needleless devices whenever possible.

[wtf444]

Answer to Question 1

A

Feedback
A The nurse must consider supporting family caregivers in order to develop better communication and problem solving for families. Building relationships for successful caregiving will improve care for the patient.
B Nursing home placement should not be the nurse's initial response to caregiver strain.
C Arranging for the patient to remain in the medical centre is not always feasible and does not address the problem of caregiver strain. It should not be the nurse's initial response in this situation.
D The nurse should not make decisions for the family but rather should work with the family to problem solve.

Answer to Question 2

B, D, E, F
To prevent the risk of needlesticks, the nurse should never recap needles. Empty sharps boxes before they become too full, so needles do not stick out the top. Needles should not be forced into the box. Clearly mark receptacles to warn of danger. Using needleless systems when possible will further reduce the risk of needlestick injury.