Solutions - Chapter 8 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1CTC. Mr. Madden is a 67-year-old African American male with a 20-year history of hypertension and diabetes mellitus. He has recently undergone amputation of three toes due to poor circulation.
Because he is progressing well and his diabetes is under control, he is being discharged from the acute care setting to go home. He has been referred to a hospital-based home health agency, which will assign a nurse to change his foot dressings, administer IV antibiotics, and monitor his blood glucose levels.
When delivering care in the home environment, how will the nurse’s role be similar to and different from that of the nurse’s role in the acute care environment?
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1TYK. Care in the home is an alternative to hospital placement.
Which of the following is one major difference associated with in-home care?
1.  Does not focus on curative and lifesaving approaches.
2.  Is less able to manage complex symptoms.
3.  Facilitates extensive involvement of significant others/family.
4.  Permits use of pain medication regimens not allowed in the hospital.
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2CTC. Mr. Madden is a 67-year-old African American male with a 20-year history of hypertension and diabetes mellitus. He has recently undergone amputation of three toes due to poor circulation.
Because he is progressing well and his diabetes is under control, he is being discharged from the acute care setting to go home. He has been referred to a hospital-based home health agency, which will assign a nurse to change his foot dressings, administer IV antibiotics, and monitor his blood glucose levels.
What rights does the client have when being cared for at home that may not be afforded him while institutionalized?
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2TYK. If a primary care provider prescribed the following, which could be delegated to the home health aide?
1.  Feeding and bathing the client
2.  Teaching the client about medications
3.  Assessing wound healing progress
4.  Adjusting oxygen flow
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3CTC. Mr. Madden is a 67-year-old African American male with a 20-year history of hypertension and diabetes mellitus. He has recently undergone amputation of three toes due to poor circulation.
Because he is progressing well and his diabetes is under control, he is being discharged from the acute care setting to go home. He has been referred to a hospital-based home health agency, which will assign a nurse to change his foot dressings, administer IV antibiotics, and monitor his blood glucose levels.
What factors could negatively affect the care of Mr. Madden in his own home?
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4CTC. Mr. Madden is a 67-year-old African American male with a 20-year history of hypertension and diabetes mellitus. He has recently undergone amputation of three toes due to poor circulation.
Because he is progressing well and his diabetes is under control, he is being discharged from the acute care setting to go home. He has been referred to a hospital-based home health agency, which will assign a nurse to change his foot dressings, administer IV antibiotics, and monitor his blood glucose levels.
What factors could negatively affect the care of Mr. Madden in his own home?
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4TYK. A home health nurse is providing care for a client who has paralysis on one side and whose spouse provides most of the care. Which of the following may be a sign of caregiver role strain?
1.  The caregiver loses weight and has insomnia.
2.  The caregiver asks other family and friends for help.
3.  The caregiver asks the nurse what other ways he or she can help the client.
4.  The caregiver seems sad whenever the client’s prognosis is discussed.
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5TYK. A client is scheduled to be discharged from the hospital. Which should the discharge planner at the hospital acquire first before home nursing care can be initiated?
1.  Insurance coverage
2.  An in-home caregiver
3.  A curable health problem
4.  A physician’s authorization
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6TYK. The nurse doing home health care recognizes that the practice includes which of the following? Select all that apply.
1.  Hospice care
2.  Visiting clients who live in skilled nursing facilities
3.  Care of both the client and the family
4.  Absence of high-tech equipment and procedures
5.  Care of clients who cannot afford to go to the doctor’s office or clinic
6.  Performing physical, psychosocial, and emotional interventions
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7TYK. Which of the following indicates the client and family require some added safety teaching or teaching?
1.  Client wears a medical alert bracelet at all times.
2.  A list of medications is posted on the refrigerator.
3.  Area rugs have been removed.
4.  Client puts on an emergency response necklace whenever leaving home.
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Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

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