A client being discharged from an acute care hospital requires IV ...

[jilianpiloj]

A client being discharged from an acute care hospital requires IV antibiotics, is not able to complete activities of daily living without assistance, and has no family available to assist in the recovery phase.
 
  Which type of recommendation should the nurse make for this client?
  1. Stay in the hospital until the client is fully capable of self-care.
  2. Remain in the hospital until the antibiotic course is completed.
  3. Be discharged to an extended care facility.
  4. Go to a nursing home.

Question 2

An older client has no family in the same community, lives alone in a small house, and is having greater difficulty with mobility due to advanced osteoarthritis.
 
  Cognitively, this client is alert, is able to manage her own business matters, and does her own cooking, but does not enjoy cooking for one. The home health nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits. What should the nurse recommend for this client?
  1. See a psychiatrist because the client appears to be depressed.
  2. Check out joint replacement options for the osteoarthritis.
  3. Start thinking about long-term care.
  4. Consider moving to an assisted living facility.

[bassamabas]

Answer to Question 1

Rationale 1: An acute care hospital stay is no longer required because the needs of the client could be met in another facility.
Rationale 2: The antibiotic therapy and custodial care can be provided in a more suitable facility.
Rationale 3: Extended care facilities provide care for clients who require rehabilitation and custodial care after discharge from an acute care hospital. Because this client still receives antibiotic therapy and requires some custodial care, this type of facility can provide the best care until the client is ready for discharge home.
Rationale 4: The client may require a nursing home or long-term care facility at some point, but it is too early in the recovery to make this decision.

Answer to Question 2

Correct Answer: 4
Rationale 1: Diagnosing depression is outside the scope of nursing practice. Other interventions can be implemented before this action is considered. It also does not meet the client's immediate needs.
Rationale 2: Joint replacement may or may not be an option, but it would not be the nurse's responsibility to recommend this, nor does it meet the client's immediate needs.
Rationale 3: This client does not show any indications of requiring long-term care at this point.
Rationale 4: Assisted living facilities offer meals, laundry services, nursing care, transportation, and social activities to residents who are able to live relatively independently. They are intended to meet the needs of people who are unable to remain at home but do not require hospital or nursing home care. The client in this scenario has some physical limitations, but could benefit from socialization and interaction with peers as well as having staff available to provide limited care and health promotion activities.

[jilianpiloj]

Thanks

[bassamabas]

Welcome