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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Related Questions
Correct Answer is ["A","E"]
Explanation
A. This is a breach of confidentiality because discussing a client's condition in a public area where unauthorized individuals can overhear is inappropriate. Confidential information should only be shared in private settings where privacy can be ensured.
B. Logging out of the computer is not a breach of confidentiality; it is a security measure to protect client information.
C. Reviewing an electronic list of clients admitted to the unit is part of routine nursing duties and does not constitute a breach of confidentiality as long as the information is not disclosed to unauthorized individuals.
D. Faxing client data to a referred provider is a part of continuity of care and is not a breach of confidentiality if done following proper protocols to ensure the information is received by the intended recipient.
E. Informing a friend of the client about their condition without consent is a breach of confidentiality. Information about a client's condition should only be shared with individuals who are authorized to receive it, typically those involved in the client's care or those the client has
given permission to be informed.
Correct Answer is B
Explanation
A. Elevates the head of the client's bed to 30° before inserting a nasogastric tube: This action promotes proper positioning for nasogastric tube insertion and does not require intervention by the charge nurse.
B. Maintains the chest tube collection device below the level of the insertion site when ambulating the client: This action is incorrect as the chest tube collection device should be kept below the level of the insertion site to prevent backflow of fluid into the chest cavity. The charge nurse should intervene to correct this error.
C. Assists the client into a fetal position on his side in preparation for a lumbar puncture: This action is appropriate for assisting with lumbar puncture and does not require intervention.
D. Assesses the client's gag reflex following an esophagogastroduodenoscopy: This action is appropriate post-procedure care and does not require intervention.
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