A client is getting ready to go home from an intermediate care ...

[Alainaaa8]

A client is getting ready to go home from an intermediate care facility following surgery and a lengthy recovery period. Which item will the home health nurse focus on in order to determine effectiveness of the discharge teaching plan?
 
  1. Activity restrictions
  2. Follow-up appointment dates
  3. Return demonstration of dressing change
  4. Signs of complications

Question 2

The nurse is helping in discharge planning of a client who needs extensive rehabilitation and is on a complicated medication schedule. The nurse would want to include which of the following persons in this client's plan?
 
  1. Client's spouse
  2. Physician
  3. Pharmacist
  4. Social worker

[qytan]

Answer to Question 1

Correct Answer: 3
Rationale: Clients need teaching before discharge that includes information about medications, dietary and activity restrictions, signs of complications that need to be reported to the physician, follow-up appointments, and where supplies can be obtained. Clients, and perhaps caregivers, also need to demonstrate safe performance of any necessary treatments. Clients need help to understand their situation, to make health care decisions, and to learn new health behaviors. All the options would be important for the client to retain, but to determine whether the task of changing the dressing was learned, the client would have to demonstrate the skill back to the nurse.

Answer to Question 2

Correct Answer: 1
Rationale: Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the client's spouse would be important in this situation because of the complexity of the client's situation. The physician, pharmacist, and social worker may also be included, but by their own decisionnot necessarily by the nurse's invitation.