A client is being discharged from an acute hospital following an exten

A client is being discharged from an acute hospital following an extensive illness.

The client continues to require IV antibiotics, is not able to complete ADLs (activities of daily living) without assistance, and has no family available to assist in the recovery phase. The nurse should make a recommendation for this client to:
1. Stay in the hospital until the client is fully capable of self-care.
2. Remain in the hospital until the antibiotic course is completed.
3. Be discharged to an extended care facility.
4. Go to a nursing home.

ANSWER

Correct Answer: 3
Rationale 1: An acute care hospital stay is no longer required since the needs of the client could be met in another facility.
Rationale 2: The antibiotic therapy and custodial care can be provided in a more suitable facility.
Rationale 3: Extended care facilities provide care for clients who require rehabilitation and custodial care after discharge from an acute care hospital. Since this client still receives antibiotic therapy and requires some custodial care, this type of facility can provide the best care until the client is ready for discharge home.
Rationale 4: The client may require a nursing home or long-term care facility at some point, but it is too early in the recovery to make this decision.