The individual who has the potential for the greatest risks at ...

[bcretired]

The individual who has the potential for the greatest risks at discharge is the client who is:
 
  A. Attempting to correct safety hazards at home
  B. Having difficulty explaining self-care measures
  C. Asking questions about the medication and side effects
  D. Identifying problems that may be encountered with the therapy

Question 2

The nurse is teaching family members how to perform postural drainage at home for a patient with chronic bronchitis. What instruction should the nurse provide?
 
  a. Plan to perform postural drainage 3 times a day about 1 hour after meals.
  b. Don't give any pain medication within 2 hours of performing postural drainage.
  c. Perform postural drainage 20 minutes after the patient uses the inhaler.
  d. Encourage the patient to remain in each position for 30 minutes to adequately drain the area.

[xthemafja]

Answer to Question 1

B
B. Difficulty in explaining self-care measures can indicate a lack of understanding that increases the risk of an interruption in care after discharge.
A. Correction of safety hazards will increase the client's level of independence and ability to retain function after discharge.
C. Clarification of issues related to medication regimen indicates client learning.
D. Identifying potential problems associated with therapy indicates client understanding.

Answer to Question 2

C
Patients receiving inhaled bronchodilators, nebulizers, or aerosol treatments should have postural drainage performed 20 minute after such therapy. If a patient's pain is 4 or greater, analgesics should be administered 20 minutes before CPT maneuvers. Pain control is essential for the patient to actively participate and cough forcefully to clear the airways. Treatments should not overlap with meals. Avoid postural drainage 1 to 2 hours before and after meals. The patient should maintain each position for 10 to 15 minutes.