A nurse is caring for a client with a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse from the sending facility? (Select All that Apply)
Confirm the rehabilitation center has a room available at the time of transfer.
Ensure the client has possession of his valuables.
Complete a transfer form for the receiving facility.
Assess how the client tolerates the transfer.
Send a copy of the client's chart with diagnostic and laboratory results.
Correct Answer : A,B,C,E
Choice A reason: Confirming that the rehabilitation center has a room available at the time of transfer is essential to ensure the client has a designated space upon arrival. This helps prevent any delays or complications during the transfer process.
Choice B reason: Ensuring the client has possession of his valuables is important for safeguarding the client's personal belongings during the transfer. This task helps prevent any loss or misplacement of valuable items.
Choice C reason: Completing a transfer form for the receiving facility is a critical task that involves documenting the client's medical information, treatment plan, and other relevant details. This form ensures that the receiving facility has all the necessary information to continue the client's care seamlessly.
Choice D reason: While assessing how the client tolerates the transfer is important, it is typically done after the transfer has occurred, rather than being a responsibility of the nurse at the sending facility. This task is more relevant to the receiving facility's staff.
Choice E reason: Sending a copy of the client's chart with diagnostic and laboratory results ensures that the receiving facility has access to the client's medical history, test results, and other pertinent information. This facilitates continuity of care and informed decision-making.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Battery involves harmful or offensive physical contact with another person. In this scenario, no physical contact has been made, so the UAP's actions do not constitute battery.
Choice B reason: Assault occurs when a person intentionally creates a reasonable apprehension of imminent harmful or offensive contact in another person. By threatening the client with being put in a diaper if he does not comply, the UAP is creating a fear of potential harm, which constitutes assault.
Choice C reason: False imprisonment involves the unlawful confinement of a person without their consent. While the UAP's threat is inappropriate, it does not involve actual confinement, so false imprisonment is not applicable in this situation.
Choice D reason: Invasion of privacy occurs when there is an intrusion into a person's private affairs or disclosure of private information without consent. The UAP's actions do not involve disclosing private information or intruding into the client's personal life, so invasion of privacy is not relevant here.
Correct Answer is D
Explanation
Choice A reason: The red category in START triage is reserved for clients who need immediate intervention to survive. This includes those with life-threatening injuries such as severe bleeding or airway obstruction. In this scenario, the 10-year-old client is awake, alert, and ambulatory, indicating that their condition is not immediately life-threatening. Therefore, the red category is not applicable.
Choice B reason: The green category is used for clients who are able to walk and have minor injuries. While the 10-year-old client is ambulatory, the presence of a headache and neck pain suggests that their injuries might be more severe than minor. The green category would not be appropriate because their symptoms indicate a need for further evaluation and monitoring.
Choice C reason: The black category is assigned to clients who are deceased or have injuries so severe that survival is unlikely even with immediate medical intervention. The 10-year-old client is awake, alert, and able to walk, which clearly does not align with the criteria for the black category. Therefore, this category is not suitable for the client's condition.
Choice D reason: The yellow category in START triage is for clients who require medical attention but their injuries are not immediately life-threatening. Given that the 10-year-old client is reporting a headache and neck pain, there is a potential risk of underlying injury that warrants attention but does not require immediate intervention. Thus, the yellow category is the most appropriate acuity level for this client.
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