While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Reinforce the potential consequences of not having this information on record to the nursing staff.

Ask nurses who are caring for clients without this information in the medical record to obtain it.

Meet with nursing staff to review the policy regarding advance directives.

Remind nurses to obtain this information during the admission process.

Answer and Explanation

The Correct Answer is B

A.   Reinforce the potential consequences of not having this information on record to the nursing staff: While reinforcing the importance of advance directives is necessary, the immediate priority is to ensure that missing information is obtained.
B.   Ask nurses who are caring for clients without this information in the medical record to obtain it: This is the correct answer. The priority action is to address the missing documentation by
instructing nurses to obtain advance directive information from clients who lack it in their medical records.
C.   Meet with nursing staff to review the policy regarding advance directives: While policy review may be necessary, it is not the immediate action needed to address the missing documentation.
D.   Remind nurses to obtain this information during the admission process: While obtaining advance directive information during the admission process is important, the priority is to address the missing documentation for current clients.

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Correct Answer is A

Explanation

A. Changing peripheral IV primary tubing every 96 hours is a standard practice that helps prevent infection and maintain the integrity of the IV system while also being cost-effective by reducing unnecessary changes.
B. While replacing peripheral IV solution bags every 96 hours might seem like a cost-saving measure, it may not align with best practices, as solution bags should be changed based on the facility's policy and the condition of the solution.
C. Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial growth and ensure the integrity of the solution.
D. Changing total parenteral nutrition (TPN) IV tubing every 48 hours may be necessary to prevent contamination and maintain the sterility of the infusion, which can contribute to better patient outcomes despite potentially higher costs.

A. Pharmacist B. Child protective services C. Respiratory therapist D. Social worker

Correct Answer is D

Explanation

A. Pharmacist: While a pharmacist may provide information about medications and their administration, they may not be the appropriate referral for addressing financial concerns related to medical equipment.
B. Child protective services: Referring to child protective services is not appropriate in this situation, as it does not involve issues of abuse or neglect.
C. Respiratory therapist: While a respiratory therapist may be involved in the child's care, they may not be the appropriate referral for addressing financial concerns.
D. Social worker: This is the correct answer. Social workers are trained to assist patients and families with accessing resources and support services, including financial assistance programs, that can help with the cost of medical equipment such as nebulizers. They can assess the family's financial situation and connect them with appropriate resources to obtain the necessary equipment for their child's asthma management.

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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

Correct Answer is D

Explanation

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