A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
Laboratory test results
Acuity level of client care
Do-not-resuscitate status
Reconciled medications
The Correct Answer is D
Choice A Reason:
Laboratory test results is incorrect. While laboratory test results may be relevant to the client's care, they are not typically included in discharge documentation unless there are specific instructions or follow-up related to these results. Generally, the focus of discharge documentation is on providing instructions and information necessary for the client's continued care at home.
Choice B Reason:
Acuity level of client care is incorrect. The acuity level of client care may be important for internal communication within the healthcare facility, but it is not typically included in discharge documentation to be provided to the client for home care.
Choice C Reason:
Do-not-resuscitate status is incorrect. While this information is critical for the client's medical care, it may already be documented in the client's medical records. It's important to ensure that the client's wishes regarding resuscitation are documented and communicated as appropriate, but it may not be included in the discharge documentation provided directly to the client.
Choice D Reason:
Reconciled medications is correct. Reconciling medications ensures that the client has an accurate and up-to-date list of all medications they should be taking, including any changes made during their hospital stay. This information is crucial for the client's continued care at home and helps prevent medication errors. It's typically included in the discharge instructions to ensure the client understands their medication regimen upon returning home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Reinforcing the potential consequences of not having advance directives on record is important, but the immediate priority is to ensure that the missing documentation is obtained.
Choice B Reason:
Reminding nurses to obtain advance directive information during the admission process is a proactive approach to preventing future instances of missing documentation. However, the priority now is to address the current gap in documentation for clients already admitted.
Choice C Reason:
Meeting with nursing staff to review the policy regarding advance directives can provide clarification and reinforcement of expectations, but again, the immediate priority is to address the missing documentation for current clients.
Choice D Reason:
Asking nurses who are caring for clients without this information in the medical record to obtain it. The priority action for the nurse manager is to ensure that advance directives, which are critical documents outlining a patient's wishes regarding medical treatment, are obtained for clients who currently lack documentation. This ensures that patients' preferences and choices regarding their care are respected, especially in critical situations.
Correct Answer is B
Explanation
Choice A Reason:
"I will have a nurse witness the signing of my living will." This statement is incorrect. While having a witness present during the signing of a living will is important for validity in some jurisdictions, the statement alone does not demonstrate an understanding of advance directives. It's essential to ensure that the client comprehends the purpose and content of the document, not just the procedural aspect.
Choice B Reason:
"I can make changes to my living will even after I sign it." This statement is correct. Understanding that living wills can be revised or updated as needed reflects comprehension of the flexibility and control that advance directives provide. It's crucial for clients to know that they can make changes to their directives if their preferences or circumstances change.
Choice C Reason:
"I should choose a family member as my health care proxy." This statement is incorrect. While selecting a family member as a health care proxy is a common choice, it may not necessarily indicate an understanding of advance directives. The key aspect is that the client understands the role of the health care proxy and chooses someone who can make decisions aligned with their wishes.
Choice D Reason:
"I need to have my attorney review my advance directives." This statement is incorrect. While it can be beneficial to have an attorney review advance directives for legal clarity and compliance with state laws, it is not a requirement for their validity. The statement alone does not demonstrate understanding of advance directives.
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