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. 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.

A. Whether the facility ethics committee reaches a consensus on the case B. Whether the client's refusal is based on religious belief C. Whether the partner is the client's durable power of attorney for health care D. Whether the client understands the risk of refusing the procedure

Correct Answer is D

Explanation

A. The facility ethics committee can provide guidance and recommendations, but they do not have the authority to override a competent client's decision regarding their own medical treatment. Their role is advisory rather than decisive.

B. While a client's refusal based on religious beliefs must be respected, it is not the primary deciding factor in this scenario. The key issue is the client's understanding and informed consent, regardless of the reason for refusal.

C. If the partner is the client's durable power of attorney for health care, they can make decisions on behalf of the client only if the client is deemed incompetent. In this case, the client is competent and has made their own decision.

D. The client's understanding of the risks associated with refusing the procedure is crucial. Informed consent requires that the client comprehends the potential consequences of their decision, ensuring that their refusal is based on a clear understanding of the risks involved.

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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

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Correct Answer is D

Explanation

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