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. Sending the facility a copy of the client's complete medical record is not appropriate because it may contain sensitive information that is not relevant to the rehabilitative facility. Only the necessary information should be sent to ensure patient confidentiality and compliance with privacy regulations.

B. Avoiding the use of a fax cover sheet is not advisable as the cover sheet provides important information about the sender and the recipient, ensuring that the fax reaches the correct person and maintains confidentiality. It also helps in identifying the document if it gets misplaced.

C. Calling the facility to confirm the fax number after sending the client's information is not the best practice. The nurse should confirm the fax number before sending any information to prevent sending sensitive data to the wrong recipient.

D. Shredding extra copies of the client's records when they are no longer needed is a crucial step in maintaining patient confidentiality and preventing unauthorized access to sensitive information. Proper disposal of medical records is essential for compliance with privacy laws and regulations.

A. A client who has active bleeding from a puncture wound of the left groin area B. A client who has a raised red skin rash on his arms, neck, and face C. A client who reports right-sided flank pain and is diaphoretic D. A client who reports shortness of breath and left neck and shoulder pain

Correct Answer is D

Explanation

A. A client who has active bleeding from a puncture wound of the left groin area – Although this client is at risk for significant blood loss, the immediate priority is to assess and address any potential cardiac issues in clients with respiratory distress.

B. A client who has a raised red skin rash on his arms, neck, and face: While a rash may indicate an allergic reaction or infection, it is not immediately life-threatening compared to active bleeding.
C. A client who reports right-sided flank pain and is diaphoretic: Flank pain and diaphoresis could indicate various serious conditions such as kidney stones or myocardial infarction, but active bleeding requires more immediate intervention.

D. A client who reports shortness of breath and left neck and shoulder pain – This client is experiencing symptoms that may indicate a serious cardiac event, such as a myocardial infarction or pulmonary embolism, which requires urgent evaluation and intervention. The combination of shortness of breath and pain in these areas raises the highest concern for potential life-threatening conditions.

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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 D

Explanation

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