Final answer:
In the entry phase of a home visit, a nurse gathers supplies, establishes rapport with the client and family, and assesses the client and home situation.
Step-by-step explanation:
During the entry phase of the home visit, a nurse primarily engages in activities that include gathering supplies for the visit, establishing rapport with the client and family, and assessing the client and home situation. It's crucial for the nurse to prepare adequately by having all necessary supplies and equipment ready to provide direct supervision and effective care. Upon meeting the client, establishing a good rapport is key to ensuring open communication and trust. Additionally, the nurse must assess both the client's health and the home environment to tailor care appropriately and to identify any potential challenges or needs. The nurse may work under the direct supervision of a registered nurse, focusing on providing specialized treatments like dialysis. This involves reviewing patient history and current condition, as well as responding to patient needs before and during the treatment, to ensure it's carried out safely and effectively. Vital signs are monitored, and all procedures and equipment must be prepared with accuracy and sterility in mind. Furthermore, in settings like surgical procedures, the nurse will review items aloud with the team, ensuring that counts of items like needles and instruments are complete, specimens are correctly labeled with the patient's name, and equipment issues are addressed. Education about self-care is also an important aspect of a nurse's role but is more typically part of the ongoing and termination phases of a home visit rather than the entry phase.