Exam 16: Nursing Care of Patients at Home

During a home visit,the patient asks if his spouse could take one of the patient's prescribed pain pills for a severe headache.How should the nurse respond to this request?

The nurse is to see a patient who requires dressing changes.Which staff member obtains the required supplies to be used during the home health care visit?

Prior to leaving a patient's home after a visit,the nurse makes a note in the patient's home-care folder.Why did the nurse write a note to be kept in the patient's home?

The nurse is planning to make home-care visits throughout the day.What tasks should the nurse perform before beginning these visits? (Select all that apply.)

An older patient requires intravenous medication to be infused three times a day.The nurse instructs the spouse to provide these infusions.How frequently should the nurse plan to make home-care visits to this patient?

The nurse is visiting the home of an 80-year-old patient who has hypertension and diabetes.In addition to obtaining vital signs and blood glucose levels,what other actions would be appropriate for the nurse to do? (Select all that apply.)

During a home health visit,the nurse learns that the family member who is the primary caregiver of the patient is exhausted and tense.Which nursing diagnosis should the nurse recommend for the patient's plan of care?

The nurse is making a home health visit to a patient and needs to contact the case manager of the patient's home-care team.Which person should the nurse contact?

The nurse is completing the home-care flow sheet.When should the nurse plan to return this sheet to the home health agency?

The nurse is identifying care that a home-care patient requires.For which patient needs should the nurse seek assistance from the social worker? (Select all that apply.)

The nurse is making a third home health visit.Which observations indicate that the patient and family have understood safety instructions and recommendations made by the nurse on an earlier visit? (Select all that apply.)

During a home visit,the nurse documents arrival and departure time,patient vital signs,data collected for the patient,and a narrative note of the patient's response to medications and understanding of care being given.Which action does the nurse need to take prior to submitting this documentation?

The nurse completes the OASIS form upon a patient's admission to a home health care program.For which reasons does the nurse complete this form? (Select all that apply.)

The nurse is preparing to make a telehealth visit to a patient with a foot wound.Which types of technology will the nurse use to complete this visit? (Select all that apply.)

While traveling to a patient's home for a visit,the home-care nurse becomes lost in an unfamiliar part of town and sees a group of teenagers hanging around a boarded-up building.Which action should the nurse take?

The family of a home-care patient asks the nurse to explain private duty nursing.How should the nurse respond to this question? (Select all that apply.)

After entering a patient's home for a visit,the nurse notes that the living room floor is littered with trash,and pet hair is on furniture and table stands.What should the nurse do to maintain a clean home-care bag? (Select all that apply.)

During a home visit,the nurse notes that an older patient is sitting in a poorly lit room listening to the radio.When the nurse turns on a light before starting to evaluate the patient and change a dressing on a wound,the patient says,"Oh,you don't need that light.I try to keep the lights off.Electricity is too expensive." Which response by the nurse is most appropriate?

The nurse is making a first home-care visit to a patient recently discharged after hip replacement surgery.Which home observations should the nurse document as safety concerns? (Select all that apply.)