A nurse works in a home care agency that uses a center of ...

[bobypop]

A nurse works in a home care agency that uses a center of excellence (COE) concept and functions to assist local home care nurses. Which of the following services would be provided by these nurses? Select all that apply.
 
  A) Cooking meals for clients
  B) Light housekeeping
  C) Wound care
  D) Psychiatric management
  E) Continence care
  F) Daily medications

Question 2

A nurse is asked to monitor the condition of a client in whom an elastic roller bandage has been to the leg. Which might indicate a block in the circulation to the extremities?
 
  A) Change of color in the toes and severe pain in the legs
  B) Increase in the temperature over the toes
  C) Symptoms of fever and vomiting
  D) Symptoms of rashes and itching over the legs

[popopong]

Answer to Question 1

C, D, E
Feedback:
With a COE, a team of nurses with specific expertise is in place to assist local home care nurses. The expertise of a COE team may include wound care, continence care and bowel/bladder retraining, IV and other high-technology care, psychiatric management and crisis intervention, maternalchild healthcare or maternity consultation, and pediatric high-technology, including care of ventilator-dependent children. The COE nurses may make the actual home visits or may serve as consultants to a staff nurse from the local home care agency. Housekeeping and cooking may be provided by home care aides, and daily medications would be provided by visiting home care nurses.

Answer to Question 2

A
Feedback:
A bandage is applied tightly over the limbs leads to blocking of the circulation, resulting in pale, white, or cyanotic appearance of the extremities. Pain is also associated with this block in circulation. When circulation is blocked, there is a localized decrease, not an increase, in temperature over the toes. Fever and vomiting are general symptoms and not the result of circulatory changes at the extremities. Rashes and itching over the legs are not specific to a circulatory block in the extremities.