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.
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Correct Answer is C
Explanation
A. Consult the pharmacist about the client's prescribed medications: While consulting the pharmacist may provide valuable information about the medications, it may not be the first action to take in this scenario.
B. Call the provider to clarify the client's prescribed medications: While it may be necessary to clarify the client's medications with the provider, it may not be the first action to take, especially if there are discrepancies in the documentation.
C. Compare the client's medication administration record with the prescriptions on the transfer orders: This is the correct answer. Comparing the client's medication administration record with the prescriptions on the transfer orders can help identify any discrepancies or errors in medication administration, ensuring patient safety and adherence to prescribed therapy.
D. Review the intended purpose of the prescribed medications with the client: While reviewing the intended purpose of the medications with the client is important for informed decision-making, it may not be the first action to take if there are concerns about the accuracy or appropriateness of the prescribed medications.
Correct Answer is D
Explanation
A. While it is advisable for individuals to review legal documents with their attorney, it does not directly indicate understanding of advance directives.
B. Selecting a family member as a healthcare proxy is a component of advance directives but does not directly indicate understanding of the concept.
C. Having a nurse witness the signing of a living will is not a typical requirement for advance directives and does not necessarily indicate understanding of the process.
D. This statement demonstrates an understanding that advance directives are not necessarily permanent and can be modified or revoked by the individual at any time while they have decision-making capacity. This reflects comprehension of the flexibility and autonomy inherent in advance directives.
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