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    Ati Rn Vati Leadership Proctored Exam

    A nurse case manager is reviewing the chart of a client who has emphysema and is scheduled for discharge to their home. Which of the following items should the nurse case manager anticipate that the client will need?

    Explanation & Rationale

    Rationale: A. This option is correct because clients with emphysema, a type of chronic obstructive pulmonary disease (COPD), often experience decreased lung function and chronic hypoxemia. Supplemental oxygen therapy is frequently prescribed to maintain adequate oxygen saturation, prevent complications such as hypoxia-induced organ dysfunction, and improve overall quality of life. An oxygen concentrator is a safe and practical device for home use, providing a continuous supply of oxygen without the need for frequent tank replacements. The nurse case manager should anticipate that the client will need this equipment, provide teaching on its use, monitor oxygen saturation, and ensure the client understands safety precautions, such as avoiding open flames near the device. B. This option is incorrect because a blood glucose monitor is indicated for clients with diabetes or other conditions requiring glucose monitoring. While some clients may have comorbidities, a client with emphysema alone does not routinely need a glucose monitor. C. This option is incorrect because an IV pump is used for continuous intravenous therapy, such as medications or fluids, which is not part of standard home care for a stable client with emphysema. Use of an IV pump at home would typically be reserved for clients receiving specialized treatments like chemotherapy or parenteral nutrition. D. This option is incorrect because a straight catheter kit is used for intermittent catheterization, typically for clients with urinary retention or neurologic disorders affecting bladder function. It is not a standard requirement for a client with emphysema unless another underlying condition necessitates its use.

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