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
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: The NIH conducts biomedical and public health research but does not regulate or enforce laws related to medication approval. Its role is primarily investigative and academic.
Choice B reason: The CDC focuses on disease prevention and public health surveillance. It does not oversee drug testing or approval processes for medications.
Choice C reason: OSHA enforces workplace safety standards, including those in healthcare settings, but it does not regulate pharmaceuticals or drug testing.
Choice D reason: The FDA is the federal agency responsible for enforcing laws that ensure medications are safe and effective before being marketed to the public. It oversees clinical trials, labeling, manufacturing standards, and post-market surveillance.
Correct Answer is B
Explanation
Choice A reason: Client education, especially regarding chronic conditions like diabetes mellitus, is a task reserved for licensed nurses due to the need for clinical judgment, individualized teaching, and assessment of understanding. CNAs are not trained or licensed to provide formal education.
Choice B reason: Ambulating patients is within the scope of practice for CNAs. They are trained to assist clients with mobility, including walking, transferring from bed to chair, and using assistive devices safely, which helps prevent complications such as falls and pressure injuries.
Choice C reason: Inserting a Foley catheter using sterile technique is an invasive procedure that requires licensure and competency in sterile technique. This task is typically performed by registered nurses or licensed practical nurses, not CNAs.
Choice D reason: Determining a client’s pain level involves assessment and interpretation, which are nursing responsibilities. CNAs may report observed signs of discomfort, but they do not perform formal pain assessments.
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