Med/Surg Exam 1 Questions And Answers Graded A+

A 40-year-old female patient is being prepared for discharge home after a laparoscopic cholecystectomy. Which team member can be assigned to complete a discharge assessment and provide patient teaching for post-discharge care? A. Registered nurse (RN) B. Nursing technician (NT) C. Unlicensed assistive personnel (UAP) D. Licensed practical/vocational nurse (LPN/LVN) - Answer-A. Registered nurse (RN) Nursing interventions that require independent nursing knowledge, skill, or judgment such as assessment, patient teaching, and evaluation of care cannot be delegated. These interventions are the responsibility of the RN. The scope of practice for LPN/LVNs is determined by each state board of nursing. The RN must know the legal scope of practical/vocational nursing practice and delegates and assigns nursing functions appropriately. In most states LPN/LVNs may administer medications, perform sterile procedures, and provide a wide variety of interventions planned by the RN. UAP are unlicensed individuals who serve in an assistive role to the RN and may include nursing assistants or technicians. The RN may delegate specific activities such as obtaining routine vital signs on stable patients, feeding/assisting patients at mealtimes, ambulating stable patients, and helping patients with bathing and hygiene. A 54-year old male client was recently diagnosed with subset bacterial endocarditis (SBE). The nurse determines that the client understands the discharge teaching when he makes which statement? 1. " I need a referral to a dietician to understand a low sodium diet" 2. "I have to call my doctor so I can get antibiotics before seeing a dentist" 3. "Can I take the antibiotics as a pill now" 4. "If i quit smoking, it will help the endocarditis" - Answer-2. "I have to call my doctor so I can get antibiotics before seeing my dentist": once a client is diagnosed with SBE, they are at risk for repeated episodes. Prophylactic antibiotics are important to prevent further infections. A 60-year-old female patient has had increased evidence of dementia and physical deterioration. What would be the best assistance to recommend to her caregiver husband who is exhausted?a. Long-term care b. Adult day care c. Home health care d.Homemaker services - Answer-b. Adult day care Adult day care provides social, recreational, and health-related services in a safe, community-based environment that would keep this patient safe and decrease the stress on the husband. Long-term care is used when the patient has rapid deterioration, the caregiver is unable to continue to provide care, and there is an alteration in or loss of the family support system. Home health care is used when there is supportive caregiver involvement for patients with health needs. Homemaker services provide services, but do not care for the patient. A 60-year-old female patient has had increased evidence of dementia and physical deterioration. What would be the best assistance to recommend to her caregiver husband who is exhausted? a. Long term care b. Adult day care c. Home health care d. Homemaker services - Answer-b. Adult day care