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 dietary teaching with a client who has heart disease is incorrect. Dietary teaching typically requires a higher level of assessment and critical thinking, often involving interpretation of lab values, medication interactions, and individualized dietary plans. This task is best suited for a Registered Nurse (RN).
Choice B Reason:
Providing postmortem care for a client who has just died is incorrect. Providing postmortem care involves emotional support, respect for the deceased, and proper handling of the body. This task is within the scope of practice for an RN and may also involve collaboration with other healthcare team members.
Choice C Reason:
Accompanying a client who just had a wound debridement to physical therapy is incorrect. Accompanying a client to physical therapy may involve monitoring the client's condition, providing assistance during the transfer, and communicating with the physical therapist about the client's status. This task typically requires an RN or may be appropriate for an assistive personnel under RN supervision.
Choice D Reason:
Obtaining a urine specimen from an older adult client is correct. Obtaining a urine specimen is a task that falls within the scope of practice for an LPN. It involves performing a routine procedure that requires technical skills but does not involve complex assessment or critical thinking beyond following established protocols.
Correct Answer is D
Explanation
Choice A Reason:
Having the client sign a consent for treatment is not appropriate. In emergency situations where a patient's life or health is in immediate danger, obtaining written consent may not be feasible or appropriate. The priority is to provide necessary medical treatment and stabilize the patient's condition. Consent may be obtained verbally if possible, but it should not delay urgent interventions.
Choice B Reason:
Contacting the client's next of kin to obtain consent for treatment is not appropriate. While it's important to involve the patient's family or next of kin in decision-making when possible, obtaining consent from them in an emergency may not be practical or timely. The focus should be on providing immediate medical care to stabilize the patient.
Choice C Reason:
Notifying risk management before initiating treatment is not appropriate. Risk management concerns are important in healthcare settings, but in emergency situations where a patient's life is at risk, the priority is to provide urgent medical care. Risk management can be addressed after the patient has been stabilized.
Choice D Reason:
Proceeding with treatment without obtaining written consent is appropriate. In emergency situations, healthcare providers have a duty to provide care without delay to stabilize the patient's condition. Written consent may be obtained later if the patient becomes stable or when circumstances allow. The primary focus is on providing necessary medical interventions to address the disorientation and cardiac arrhythmia.
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