Answer to Question 1
C
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If an elderly client is having difficulty comprehending the discharge instruction, the nurse should involve a second responsible person in the instruction in order to ensure client safety. A referral for skilled nurse visits is appropriate for homebound older adults who need additional instructions about medication routines after discharge. However, the nurse would not ask a second nurse to simply repeat the instructions or delegate the teaching to somebody else. The nurse will also not write all the discharge instructions on the various medication containers, but instead will write all the instructions in detail on the discharge sheet for the client's convenience.
Answer to Question 2
C
Feedback:
The nurse should assist the client into the Sims' position to instill enema solution. This position provides access to the anus and rectum when the client requires rectal administration of medication or instillation of enema solution.