Author Question: An elderly client with a tracheostomy is to be discharged from a health care facility. Which of the ... (Read 81 times)

Lisaclaire · **on:** Jul 22, 2018

An elderly client with a tracheostomy is to be discharged from a health care facility. Which of the following extended care facilities should the nurse suggest to the client for continued care until complete recovery?

A) Intermediate care facility
B) Skilled nursing facility
C) Basic care facility
D) Extended custodial care

Question 2

A client has recently been changed from intermittent tube feedings to a cyclic feeding schedule, in which the client receives feedings for 8 to 12 hours followed by several hours without feedings.

What is the most likely rationale for this change in the client's feeding schedule? A) The client's nutritional needs are lower than they previously were.
B) The client is transitioning from tube feedings to oral food intake.
C) The client has experienced a fluid imbalance or electrolyte imbalance.
D) The client's activity level and mobility have increased.

cascooper22 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
The nurse should suggest a skilled nursing facility for the client for continued care until complete recovery. A nursing home licensed as a skilled nursing facility provides 24-hour nursing care under the direction of a registered nurse. An intermediate care facility provides health-related care and services to people who, because of their mental or physical condition, require institutional care but not 24-hour nursing. A basic care facility or an agency that provides extended custodial care provides shelter, food, and laundry services in a group setting where the clients assume much responsibility for their own activities of daily living, such as hygiene and dressing, preparing for sleep, and joining others for meals.

Answer to Question 2

B
Feedback:
Cyclic feedings are often used to wean clients from tube feedings while continuing to maintain adequate nutrition. This change would not likely be prompted by increased nutritional needs, fluid and electrolyte imbalances, or increased activity.