Author Question: A nurse is discharging a client to a short-term rehabilitation center after a joint replacement. ... (Read 124 times)

Redwolflake15 · **on:** Jun 25, 2018

A nurse is discharging a client to a short-term rehabilitation center after a joint replacement. Which action by the nurse is most important?

a. Administering pain medication before transport
b. Answering any last-minute questions by the client
c. Ensuring the family has directions to the facility
d. Providing a verbal hand-off report to the facility

Question 2

A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see first?

a. Client who reports jaw pain when eating
b. Client with a red, hot, swollen right wrist
c. Client who has a puffy-looking area behind the knee
d. Client with a worse joint deformity since the last visit

JaynaD87 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
As required by The Joint Commission and other accrediting agencies, a hand-off report must be given to the new provider to prevent error. The other options are valid responses but do not take priority.

Answer to Question 2

ANS: B
All of the options are possible manifestations of RA. However, the presence of one joint that is much redder, hotter, or more swollen that the other joints may indicate infection. The nurse needs to see this client first.