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Chapter 1: Problem 85

The home health nurse is planning for the day's visits. Which client should be seen first? A. The 78-year-old who had a gastrectomy 3 weeks ago with a PEG tube B. The 5 -month-old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension C. The 50-year-old with MRSA being treated with Vancomycin via a PICC line D. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

Short Answer

Expert verified
Answer: The home health nurse should visit the clients in the following order: 1. The 50-year-old with MRSA (C) 2. The 30-year-old with exacerbation of multiple sclerosis (D) 3. The 5-month-old with pneumonia (B) 4. The 78-year-old with PEG tube post-gastrectomy (A)

Step by step solution

01

Identify each client's medical condition and treatment

A. 78-year-old who had a gastrectomy 3 weeks ago with a PEG (Percutaneous Endoscopic Gastrostomy) tube. B. 5-month-old discharged 1 week ago with pneumonia being treated with amoxicillin liquid suspension. C. 50-year-old with MRSA (Methicillin-resistant Staphylococcus aureus) being treated with Vancomycin via a PICC (Peripherally Inserted Central Catheter) line. D. 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter.
02

Examine the urgency of each client's medical condition

A. The gastrectomy patient is in recovery and relies on a PEG tube for nutrition. This situation requires monitoring, but the surgery took place 3 weeks ago. B. The infant with pneumonia has been discharged, indicating improvement, and is receiving antibiotic treatment. C. A patient with MRSA has a severe bacterial infection, and intravenous treatment via a PICC line requires careful monitoring. D. The patient with multiple sclerosis is experiencing an exacerbation. Although serious, cortisone treatment should help manage the symptoms.
03

Rank the clients by urgency

1. The 50-year-old with MRSA (C) 2. The 30-year-old with exacerbation of multiple sclerosis (D) 3. The 5-month-old with pneumonia (B) 4. The 78-year-old with PEG tube post-gastrectomy (A)
04

Determine which client to visit first

Based on the medical urgency of each client, the home health nurse should visit the 50-year-old with MRSA being treated with Vancomycin via a PICC line (C) first. This client has the most pressing and potentially dangerous medical condition, requiring immediate attention and monitoring.

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