A nurse is collaborating with the interprofessional team and reviewing a client's electronic medical record of a post-operative client.
Click to highlight the findings that the nurse should recommend be addressed by the case manager. To deselect a finding, click on the finding again.
Nurses' Notes
1315:
Client is postoperative following an open cholecystectomy. Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment.
Plan of Care
1300:
Case management referral for discharge planning. Client will need home health referral for dressing changes. Client to follow up with the provider at the clinic in one week.
Client's partner is at bedside
dressing intact
small amount of serosanguineous drainage on dressings
reports pain as 5
Client requests a dose of their pain medication
expresses concern regarding the cost of prescription medications
unable to find transportation
home health referral
The Correct Answer is ["D","E","F","G","H"]
Rationale
- Client reports pain as 5 on a scale of 0 to 10. The case manager can work with the healthcare team to ensure adequate pain management strategies are in place.
- Client requests a dose of their pain medication. This indicates ongoing pain and the need for effective pain management.
- Client expresses concern regarding the cost of prescription medications. The case manager can assist with identifying affordable medication options or connecting the client with financial assistance programs.
- Client reports being unable to find transportation to follow-up appointment. The case manager can help arrange transportation or connect the client with community resources that can provide transportation assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While the pharmacy should be notified of errors to improve systems, the immediate priority is the client's safety and the provider's notification. Reporting to the pharmacy manager is a secondary administrative step, not the first or most critical action.
B. Incident reports should not be placed in the client's medical record, as they are separate documents meant for internal review and quality improvement.
C. When a medication error occurs, the nurse’s primary responsibility is to ensure the safety of the client and maintain an accurate medical record of what actually happened to the patient.
D. Contacting the nurse from the previous shift may be necessary for understanding the situation, but the priority is to report the incident properly to ensure patient safety.
Correct Answer is D
Explanation
A. Notifying the nurse manager is important, but it is not the immediate priority when a family member has fainted.
B. Completing an incident report is necessary for documentation but should occur after addressing the immediate medical concern.
C. Obtaining the family member's health history is not pertinent at this moment as the priority is to assess their current condition.
D. Checking the family member's vital signs is the first action to determine their immediate health status and any necessary interventions to provide appropriate care.
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