A nurse on a medical-surgical unit is conducting a facility transfer with a client to an inpatient rehabilitation facility following a total hip replacement. Which of the following information should the nurse include in the transfer paperwork?

Last bath given

List of current medications

Admission paperwork

Vital signs for the past 72 hours

Answer and Explanation

The Correct Answer is B

Choice A reason: The timing of the last bath is not clinically relevant for a facility transfer. It does not impact continuity of care or the receiving facility’s ability to manage the client’s needs. Including such information would be unnecessary and nonessential.

Choice B reason: A list of current medications is critical for ensuring continuity of care during a transfer. It allows the receiving facility to maintain accurate medication administration and avoid errors or omissions. This information is a standard component of transfer documentation.

Choice C reason: Admission paperwork pertains to the initial intake at the current facility and is not typically forwarded during a transfer. The receiving facility will conduct its own admission process, making this documentation irrelevant for transfer purposes.

Choice D reason: While recent vital signs may be helpful, a full 72-hour record is excessive and not routinely included in transfer paperwork. A summary of recent vital signs may be provided if clinically indicated, but it is not a standard requirement.

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Correct Answer is A

Explanation

Choice A reason: A dietician plays a crucial role in helping clients with diabetes manage their condition through nutritional planning. They provide individualized dietary recommendations to help regulate blood glucose levels, prevent complications, and support overall health. This statement accurately reflects the purpose of the referral.

Choice B reason: Dieticians do not typically assist with financial aspects of medication. That responsibility may fall to social workers, case managers, or financial counselors.

Choice C reason: Treatment plans are developed and modified by the primary care provider or endocrinologist. While dieticians contribute to the nutritional component, they do not independently change the overall treatment plan.

Choice D reason: Care management is a multidisciplinary responsibility. Dieticians contribute to care but do not oversee or manage all aspects of it. This statement overstates their role.

A. PHI includes a client's payment information. B. PHI does not apply to the verbal transfer of health data. C. PHI can be given to other providers without the client's permission. D. PHI does not apply to past illnesses.

Correct Answer is A

Explanation

Choice A reason: Protected Health Information (PHI) encompasses any information that can identify a patient and relates to their health status, provision of healthcare, or payment for healthcare. This includes demographic data, medical histories, test results, insurance information, and billing records. Therefore, payment information is indeed part of PHI.

Choice B reason: PHI applies to all forms of communication—written, electronic, and verbal. Verbal exchanges of health information are subject to HIPAA regulations and must be protected accordingly. This statement is incorrect.

Choice C reason: PHI can only be shared with other healthcare providers for treatment, payment, or healthcare operations without explicit patient consent. However, this sharing must still comply with HIPAA guidelines. The blanket statement that PHI can be given without permission is misleading and lacks necessary context.

Choice D reason: PHI includes information about a patient’s past, present, and future physical or mental health conditions. This includes past illnesses, treatments, and hospitalizations. Therefore, this statement is false.

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A nurse on a medical-surgical unit is conducting a facility transfer with a client to an inpatient rehabilitation facility following a total hip replacement. Which of the following information should the nurse include in the transfer paperwork?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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