A nurse is preparing to discharge a client. Which of the following information should the nurse manager include in the client's discharge documentation?
Do-not-resuscitate status
Acuity level of client care
Laboratory test results
Reconciled medications
The Correct Answer is D
A. Do-not-resuscitate status: While important for the client's ongoing care, the do-not-resuscitate status may not be relevant to include in the discharge documentation unless it has changed during the course of the client's hospitalization.
B. Acuity level of client care: While relevant for internal communication among healthcare providers, the acuity level of client care may not be necessary to include in the discharge documentation for the receiving healthcare team.
C. Laboratory test results: While relevant for the client's medical history and ongoing care, specific laboratory test results may not always be necessary to include in the discharge documentation unless they are critical for the client's follow-up care.
D. Reconciled medications: This is the correct answer. Reconciled medications, including a list of medications the client was taking before admission, medications administered during the hospital stay, and any changes made to the medication regimen, are essential for ensuring continuity of care and safe medication management after discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You must submit a written request before you can receive a copy.": This is the correct response. Typically, facilities require clients to submit a written request for copies of their medical records in order to ensure proper documentation and compliance with legal requirements.
B. "The facility is unable to release your records.": This response may create confusion or frustration for the client and does not provide guidance on how to obtain the medical records.
C. "I will make a copy of your medical records right away.": While the nurse may be willing to assist, releasing medical records without following proper procedures could violate privacy laws and facility policies.
D. "What are you planning on doing with your medical record?": This response is not relevant to the client's request for immediate access to their medical records and does not address how to proceed with obtaining them.
Correct Answer is A
Explanation
A. Elevating the head of the client’s bed to 30° before inserting a nasogastric (NG) tube is incorrect. The proper position for NG tube insertion is typically with the client sitting upright at 45–90° to reduce the risk of aspiration and facilitate the passage of the tube through the esophagus. This action requires intervention by the charge nurse to correct the positioning.
B. Maintaining the chest tube collection device below the level of the insertion site when ambulating the client is correct. This positioning prevents backflow of drainage into the pleural space, which could lead to complications such as pneumothorax or infection. No intervention is needed for this action.
C. Assisting the client into a fetal position on their side in preparation for a lumbar puncture is correct. This position helps to widen the spaces between the vertebrae, allowing easier access to the spinal canal for the procedure. This action does not require intervention.
D. Assessing the client’s gag reflex following an esophagogastroduodenoscopy (EGD) is correct. After an EGD, the client’s gag reflex must return before allowing oral intake to prevent aspiration. This action does not require intervention.
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