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

Answer and Explanation

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 D

Explanation

A. Offering to store the purse at the nurses' station is not the best option because the nurses' station is a busy area with many people coming and going, which could increase the risk of the purse being misplaced or stolen.

B. Telling the client to leave her purse in a drawer of the bedside table is not secure enough, as the bedside table is easily accessible to anyone who enters the room, including other patients, visitors, and staff.

C. Placing the purse in the clothing bag with the client's other belongings is also not ideal because the clothing bag is typically stored in a less secure area and could be accessed by various personnel, increasing the risk of theft.

D. Offering to place the purse in the facility safe is the best option because the facility safe is a secure location specifically designed to protect valuable items. This ensures the client's belongings are kept safe during the procedure, providing peace of mind for the client.

A. A client who has peripheral vascular disease and has an absent pedal pulse in the right foot B. A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38°C (101°F) C. A client who is postoperative following a laminectomy 12 hr ago and is unable to void D. A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy

Correct Answer is A

Explanation

A. A client who has peripheral vascular disease and has an absent pedal pulse in the right foot is the highest priority. An absent pedal pulse indicates potential arterial occlusion, which could lead to tissue ischemia and necrosis if not addressed promptly. This situation is critical and requires immediate intervention to restore circulation and prevent permanent damage.

B. A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38°C (101°F) is not the highest priority. A mild fever in a client with MRSA indicates infection, but it is not immediately life-threatening. This client needs monitoring and possible adjustment of antibiotics, but the situation does not require urgent intervention.

C. A client who is postoperative following a laminectomy 12 hr ago and is unable to void is concerning, as it could indicate a complication such as urinary retention or spinal nerve damage. However, it is not immediately life-threatening and can be addressed after the more critical issue of a potential arterial occlusion in the client with peripheral vascular disease

D. A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy: While this client's diagnosis and treatment plan are significant, they may not require immediate intervention compared to the potential complications of urinary retention in the postoperative client.

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A nurse is preparing to discharge a client. Which of the following information should the nurse manager include in the client's discharge documentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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