Question

The home health RN is planning for the day's visits. Which client should be seen first? Answers: The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension. The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube.

Answer 1

Answer: The home RN should visit the 30-year-old client with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

Explanation: The Registered Nurse should attend to the client with the topmost priority which is characterised as

-patients that are not stable or

-patients that are on life support that needs constant care.

The 30-year-old with an exacerbation of

multiple sclerosis being treated with cortisone via a centrally placed venous catheter us of topmost priority. This is because multiple sclerosis is a life threatening case in which the body's immune system attacks its own tissues. The treatment involves the use of cortisone which should be closely monitored.

Analysing the other options given,

A) the 5 months old baby is stable since the baby has been discharged and placed in amoxicillin liquid suspension.

B)The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes can be done later. It's not an emergency state.

D)The 78-year-old who had a gastrectomy three weeks ago with a PEG tube is stabilised.