Author Question: A home health nurse has a weekly visit to a client living in less than desirable cleanliness. The ... (Read 14 times)

tatyanajohnson · **on:** Jul 23, 2018

A home health nurse has a weekly visit to a client living in less than desirable cleanliness. The client has a central venous access device and requires weekly infusion therapy. What is the best way for the nurse to protect the client against infection?

1. Have the client wash her hands before the infusion begins.
2. Practice strict aseptic technique during the infusion process.
3. Help the client clean the room before starting the infusion.
4. Suggest that the client have a housekeeper come on the morning of the infusion.

Question 2

A home health nurse explains the procedures for preventing infection in a client's central venous access device and has the client's spouse watch while the nurse hooks the client to the medication infusion.

The nurse is acting in which of the following roles?
1. Caregiver
2. Advocate
3. Educator
4. Coordinator

Eunice618 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: This intervention will not directly impact the minimization of the risk for infection since the client is not performing the infusion.
Rationale 2: Infection control can present a challenge to the home health nurse, especially if the home care facilities are not conducive to basic aseptic requirements. The most important ways to prevent infection are making sure the site is clean, accessing the port following sterile procedure, and following Standard Precautions while accessing the line.
Rationale 3: Even if the client's environment is not clean, that doesn't necessarily mean the client is unclean.There is another option that will impact the risk of infection.
Rationale 4: Teaching about health practices that prevent infection is important, but the nurse cannot expect to change the client's lifestyle.

Answer to Question 2

Correct Answer: 3
Rationale 1: The role of caregiver involves assessing and diagnosing actual or potential health problems, planning care, and evaluating the client's outcomes. That is not the role described here.
Rationale 2: The advocate role ensures that the rights and desires of the client are upheld. That is not the role described here.
Rationale 3: Education can be the most essential aspect of home care practice, the goal of which is to help clients learn to manage as independently as possible. Involving the spouse in care and educating the spouse along with the client promotes wellness and helps prevent problems.
Rationale 4: The home health nurse coordinates the activities of all other home health team members involved in the client's treatment plan. That is not the role described here.