Author Question: Every client in a long-term care facility has a case manager. Which of the following are functions ... (Read 78 times)

darbym82 · **on:** Jul 17, 2018

Every client in a long-term care facility has a case manager. Which of the following are functions of this position? Select all that apply.

A) Act as the client's payee
B) Act as a client advocate
C) Provide direct nursing care for the client
D) Oversee the client's care
E) Disperse funds from the client's monthly check
F) Evaluate the client's money skills

Question 2

The nurse is administering a tap water enema to the client. The tap water is hypotonic and may cause circulatory overload.

For which symptoms of circulatory overload should the nurse carefully monitor the client during and after the enema is administered? A) Increased respiratory rate
B) Elevated blood pressure
C) Weak thread pulse
D) Decreased oxygen saturation

paavo · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A, B, D, E, F
Feedback:
Each client in the long-term care system should have a case manager or care manager (CM) who oversees the client's case, regardless of the length of care or whether the client is cared for in a facility or the community. In a short-term stay, the head nurse or nursing director will serve as case manager. The CM is the local advocate for the client and must ensure that the client is receiving appropriate care. The CM often evaluates the client's money management skills, and the CM or a family member may be designated as the client's payee, receiving the client's monthly check and disbursing funds appropriately.

Answer to Question 2

B
Feedback:
Common symptoms of circulatory overload are elevated blood pressure and bounding pulse, not decreased oxygen saturation or increased respiratory rate.