A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?

Instruct the client's family to contact the insurance provider about the oxygen equipment.

Contact social services about the delivery of the oxygen equipment.

Notify the provider about the delayed oxygen tank delivery.

Send an oxygen tank from the facility home with the client.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Asking the client’s family to contact the insurance provider may delay timely resolution. While insurance approval may be necessary, coordinating delivery is the responsibility of the healthcare team to ensure client safety.

B. Contacting social services may help with long-term arrangements, but it is not the immediate priority when the client requires oxygen for safe discharge. Social services can assist in arranging resources, but the provider must first be informed.

C. Notifying the provider about the delayed oxygen tank delivery is the appropriate action. The provider needs to be aware because the client cannot be safely discharged without the prescribed oxygen, and alternative arrangements, such as delaying discharge or providing temporary in-hospital oxygen, may be required. This ensures client safety and adherence to discharge orders.

D. Sending an oxygen tank from the facility home with the client is not allowed. Hospital oxygen tanks are for facility use and are regulated; transferring them offsite is unsafe and typically prohibited by policy and law.

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Correct Answer is A

Explanation

Rationale:

A. Discuss the client's wishes with the interprofessional team is the correct action. The nurse’s role is to advocate for the client by ensuring the healthcare team is aware of the client’s preferences for end-of-life care. Collaboration ensures that the DNR order is implemented appropriately and respected across all care settings.

B. Requesting a provider's prescription to discontinue chemotherapy is not directly related to a DNR order. A DNR only addresses resuscitation efforts in the event of cardiac or respiratory arrest, not ongoing treatment decisions like chemotherapy.

C. Counseling the client to postpone the DNR prescription would violate the client’s autonomy. Clients have the right to make informed decisions about their own care, including the choice to implement a DNR.

D. Verifying that the family agrees with the client’s DNR request is not required. A DNR decision is the client’s legal right, and the nurse should respect the client’s wishes even if the family disagrees, provided the client is competent.

A. Monitor overall functions of the unit. B. Reward and discipline staff as necessary C. Make decisions on the unit. D. Ensure goals of the facility are being met. E. Delegate tasks to assistive personnel.

Correct Answer is ["A","B","C","D"]

Explanation

Rationale:
A. Monitoring overall functions of the unit is a core responsibility of a nurse manager. This includes overseeing patient care, staff performance, and workflow efficiency to ensure smooth operations.

B. Rewarding and disciplining staff falls under the nurse manager’s role in human resource management, ensuring accountability and promoting staff performance and morale.

C. Making decisions on the unit is part of the nurse manager’s responsibility to guide operations, resolve conflicts, and implement policies that support safe and effective patient care.

D. Ensuring facility goals are met involves aligning the unit’s operations with the organization’s mission, vision, and quality benchmarks. Nurse managers track performance metrics and implement initiatives to meet these objectives.

E. Delegating tasks to assistive personnel is typically the role of staff nurses, not the nurse manager. While nurse managers oversee delegation policies, the actual task assignment is generally handled by the direct care nurse providing patient care.

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A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?

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