A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

Client care Kardex

Standardized care plan

I&O record

Medication administration record

Answer and Explanation

The Correct Answer is A

A.   Client care Kardex: The Kardex provides a concise, comprehensive overview of the client's care needs, treatments, and status.
B.   Standardized care plan: These are generalized and do not provide client-specific information.
C.   I&O record: This record focuses solely on fluid intake and output and lacks comprehensive client details.
D.   Medication administration record: This record provides details about medications but does not offer a complete picture of the client's care.

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Correct Answer is A

Explanation

A. Current medications: This is essential to ensure continuity of care and accurate medication administration at home.
B. Vital signs flow sheet: While helpful for inpatient monitoring, this is not typically critical for home health care.
C. Nurses' notes: These are primarily for internal documentation and are not always relevant for home health care providers.
D. Nursing admission assessment: The initial assessment is generally less relevant than current and ongoing care information.

A. Taking the vital signs of a client who is experiencing acute angina B. Collecting a urine specimen from a client who is experiencing dysuria C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure D. Reinforcing teaching with a client about stool specimen collection

Correct Answer is B

Explanation

A. Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B. Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D. Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.

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A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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