Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

"I will eat fish for dinner at least twice per week."

“I will eat small, frequent meals."

“I will notify my provider if my urine is dark."

“I should expect my bowel movements to be pale in color."

“I will limit my morning coffee to no more than two cups."

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. “I will eat fish for dinner at least twice per week.” Fish is a good source of lean protein and omega-3 fatty acids, which are heart-healthy and easier on the pancreas compared to fatty meats. This aligns with dietary recommendations for pancreatitis recovery.

B. “I will eat small, frequent meals.” Eating small, frequent meals reduces pancreatic stimulation and helps manage pain and nausea. It also supports better nutrient absorption and glucose control in clients with pancreatitis and hyperglycemia.

C. “I will notify my provider if my urine is dark.” Dark urine may indicate worsening liver dysfunction or bile obstruction, especially with elevated bilirubin levels. Prompt reporting can lead to early intervention.

D. “I should expect my bowel movements to be pale in color.” Pale stools may signal bile duct obstruction or malabsorption and are not a normal or expected finding. This should be reported rather than expected.

E. “I will limit my morning coffee to no more than two cups.” Caffeine can exacerbate gastrointestinal symptoms and may increase pancreatic irritation; it is usually recommended to limit or avoid coffee during pancreatitis recovery.

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Correct Answer is D

Explanation

Rationale:

A. Remove the safety inspection sticker before plugging in the IV pump: The safety inspection sticker confirms that the device has passed required safety checks. It should remain visible to indicate the equipment is safe for use and up to date with biomedical inspections.

B. Ensure that the electric outlet has two prongs for the IV pump: Medical devices like IV pumps should be plugged into grounded three-prong outlets to reduce the risk of electrical shock. Two-prong outlets are not suitable for hospital-grade equipment.

C. Grasp the IV pump cord when unplugging it from the electrical outlet: Pulling on the cord instead of the plug can damage the wiring and increase the risk of electrical hazard or equipment failure. The plug itself should be held when disconnecting from the outlet.

D. Check the cords of the IV pump for fraying: Inspecting cords for damage such as fraying is a critical safety check before use. Damaged cords pose a serious fire and shock risk and should be reported and repaired before using the device.

A. Email the client's health information to the facility in an unencrypted file B. Fax the client's name and identifiable information to the rehabilitation C. Discuss the client's response to the transfer with another staff nurse D. Provide a verbal report of the client's condition to the paramedic

Correct Answer is D

Explanation

Rationale:

A. Email the client's health information to the facility in an unencrypted file: Sending unencrypted emails violates HIPAA standards, as it risks unauthorized access to protected health information. All electronic transmissions must be secured to ensure client confidentiality.

B. Fax the client's name and identifiable information to the rehabilitation: Faxing identifiable information can be permissible if proper safeguards are used, but without assurance of security or a cover sheet, this could breach confidentiality. It’s not the best initial action without those protections.

C. Discuss the client's response to the transfer with another staff nurse: Unless the other nurse is directly involved in the client’s care, this discussion is unnecessary and breaches confidentiality. Health information should only be shared on a need-to-know basis.

D. Provide a verbal report of the client's condition to the paramedic: Providing a verbal handoff to the paramedic is appropriate and necessary for continuity of care during transfer. It is a secure, direct communication method that supports both confidentiality and patient safety.

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Exhibits The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

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Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.