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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A Reason:
The patient should be elevated 45-90° before inserting a nasogastric tube helps prevent aspiration and facilitates tube insertion.
Choice B Reason:
Assisting the client into a fetal position on his side in preparation for a lumbar puncture is a proper positioning technique to facilitate the procedure and minimize discomfort for the client.
Choice C Reason:
Assessing the client's gag reflex following an esophagogastroduodenoscopy (EGD) is standard practice to ensure the client's safety and ability to protect their airway after the procedure.
Choice D Reason:
Maintains the chest tube collection device below the level of the insertion site when ambulating the client is correct. Chest tube management is critical to prevent complications such as air leaks, tension pneumothorax, and tube dislodgement. When ambulating a client with a chest tube, it's essential to keep the collection device below the level of the insertion site to ensure proper drainage and prevent air from entering the pleural space. If the collection device is positioned above the insertion site, it could result in fluid or air backflow into the patient's chest cavity, which can lead to complications.

A. "The facility is unable to release your records." B. "You must submit a written request before you can receive a copy." C. "What are you planning on doing with your medical record?" D. "I will make a copy of your medical records right away."

Correct Answer is B

Explanation

Choice A Reason:
Stating that the facility is unable to release the records, may not be accurate. Facilities typically have processes in place for releasing medical records upon request, although they may require written authorization.
Choice B Reason:
"You must submit a written request before you can receive a copy." This statement is correct. In most healthcare facilities, patients are required to submit a written request to obtain copies of their medical records. This process ensures that proper documentation is maintained and helps protect patient confidentiality and privacy. Additionally, providing medical records without proper authorization could violate healthcare privacy laws such as HIPAA (Health Insurance Portability and Accountability Act).
Choice C Reason:
Asking about the client's intentions with the medical record, is not appropriate as it could be seen as intrusive. Patients have the right to access their medical records for various purposes, and their intentions may not be relevant to fulfilling the request.
Choice D Reason:
Agreeing to make a copy of the medical records right away, is not the correct response without proper authorization. Making copies of medical records without following established procedures could lead to legal and ethical issues.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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