a nurse is preparing to discharge a client who as end stage heart failure the clients partner tells the nurse she can no longer handle caring for the

HESI LPN

Leadership and Management HESI Quizlet

1. A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

A. Request another family member to assist the client's partner with care
B. Recommend the partner to place the client in a long-term care facility
C. Contact the case manager to discuss discharge options
D. Ask the provider to delay the client's discharge home for a few more days

Correct answer: C

Rationale: The nurse should contact the case manager to discuss discharge options and support the client's partner. This action is appropriate as it involves seeking professional guidance and support for the client's partner who is struggling to care for the client. Option A is not the best choice as it solely focuses on involving another family member without addressing the partner's concerns directly. Option B is premature as recommending long-term care should be a well-considered decision involving multiple healthcare professionals. Option D delays the inevitable without providing a solution to the partner's current challenges.

2. Which of the following chronic complications is associated with diabetes?

A. Dizziness, dyspnea on exertion, and coronary artery disease.
B. Retinopathy, neuropathy, and coronary artery disease.
C. Leg ulcers, cerebral ischemic events, and pulmonary infarcts.
D. Fatigue, nausea, vomiting, muscle weakness, and cardiac arrhythmias.

Correct answer: B

Rationale: The correct answer is B. Diabetes is associated with chronic complications such as retinopathy, neuropathy, and coronary artery disease. Choice A includes symptoms rather than chronic complications of diabetes. Choice C lists conditions not typically associated with diabetes. Choice D describes symptoms that may occur in various medical conditions but are not specific chronic complications of diabetes.

3. You are caring for a neonate who has a cleft palate. You should inform the mother that surgical correction will be done when the infant is:

A. 8 to 12 months of age.
B. 20 to 24 months of age.
C. 16 to 20 months of age.
D. 12 to 16 months of age.

Correct answer: A

Rationale: The correct answer is A: 8 to 12 months of age. Surgical correction for a cleft palate is typically performed around this age to optimize speech development and prevent feeding difficulties. Options B, C, and D suggest later ages for surgery, which may lead to speech and feeding issues due to the delay in correction.

4. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

A. Generalized rash over trunk
B. Increased temperature
C. Decreased level of consciousness
D. Report of photophobia

Correct answer: C

Rationale: The correct answer is C: Decreased level of consciousness. In a client with meningitis, a decreased level of consciousness is a critical finding that should be reported immediately. This could indicate increased intracranial pressure or neurological deterioration, requiring prompt intervention. Choices A, B, and D are important in the assessment of meningitis but are not as immediately concerning as a decreased level of consciousness. A generalized rash over the trunk can be seen in meningococcal meningitis, an increased temperature is expected due to the inflammatory response, and photophobia is a common symptom due to meningeal irritation.

5. What is the main purpose of quality improvement in healthcare?

A. To increase healthcare costs
B. To improve patient outcomes
C. To decrease patient satisfaction
D. To increase hospital stays

Correct answer: B

Rationale: The main purpose of quality improvement in healthcare is to improve patient outcomes by enhancing the quality and safety of healthcare services. Choice A is incorrect because the goal is not to increase healthcare costs but to optimize resources and provide cost-effective care. Choice C is incorrect as the aim is to increase patient satisfaction through better outcomes. Choice D is incorrect as the objective is to reduce hospital stays by improving care efficiency and effectiveness.