Author Question: A nurse needs to begin discharge planning for a patient admitted with pneumonia and a congested ... (Read 87 times)

crazycityslicker · **on:** Jul 22, 2018

A nurse needs to begin discharge planning for a patient admitted with pneumonia and a congested cough. When is the best time the nurse should start discharge planning for this patient?

a. Upon admission
b. Right before discharge
c. After the congestion is treated
d. When the primary care provider writes the order

Question 2

Which of the following statements made by the parent of a child indicates that further teaching by the nurse about child safety is required?

a. Now that my child is 2 years old, I can let her sit in the front seat of the car with me.
b. I make sure that my child wears a helmet when he rides his bicycle.
c. I have spoken to my child about safe sex practices.
d. My child is taking swimming classes at the community centre.

missalyssa26 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Ideally, discharge planning begins at admission. Right before discharge is too late for discharge planning. After the congestion is treated is also too late for discharge planning. Usually the primary care provider writes the order too close to discharge, and nurses do not need an order to begin the teaching that will be needed for discharge. By identifying discharge needs early, nursing and other health care professionals can begin planning for home care, support services, and any equipment needs at home.

Answer to Question 2

A
The parent's statement Now that my child is 2 years old, I can let her sit in the front seat of the car with me indicates that further teaching is required. Children who weigh less than 36 kg or who are younger than 8 years of age should always be seated in an age- or weight-appropriate car seat that has been installed according to the manufacturer's directions. In cars with a passenger airbag, children younger than 12 should sit in the back seat.
Wearing a helmet is an appropriate safety measure to reduce injuries from falling off a bike or being hit by a car.
Speaking to a child about safe sex practices is an important safety measure as many adolescents begin sexual relationships.
Enrolling a child for swimming lessons is an appropriate safety measure that may someday save a child from drowning.