While admitting a patient from home to the skilled nursing facility, the nurse notes that the patient has brought medications that are not included on the primary care provider's medication order sheet. The nurse's best initial action is to:

Send the medications home with a family member.

Notify the physician about the medications the patient has been taking

Administer the medications with the ordered medications.

Seal the medications in an envelope and lock it in the medicine cart.

Answer and Explanation

The Correct Answer is B

A. Send the medications home with a family member: This may result in the patient not having access to essential medications.

B. Notify the physician about the medications the patient has been taking. The physician must be informed to evaluate the medications and determine whether they should be added to the current orders. This ensures patient safety and prevents potential adverse drug interactions.

C. Administer the medications with the ordered medications: Unsafe without physician approval, as it may lead to drug interactions.

D. Seal the medications in an envelope and lock it in the medicine cart: This delays action and does not address the patient’s potential need for the medications.

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Correct Answer is C

Explanation

A. Eat or drink nothing after midnight: Relevant for other procedures (e.g., fasting for CT or surgery), but not for ultrasonography.

B. Empty the bladder fully: Counterproductive, as a full bladder is needed for optimal imaging.

C. Drink a liter of water. A full bladder is often necessary for abdominal ultrasonography to improve visualization of pelvic structures and other areas.

D. Use enemas at home to clear the bowel fully: Not necessary unless specified for certain types of imaging like colonoscopies.

A. assisting the patient to get dressed. B. accompanying the patient to the acute care facility entrance. C. writing the discharge instructions. D. packing the patient's personal belongings.

Correct Answer is C

Explanation

A. Assisting the patient to get dressed: This is a supportive task that can be performed by any nursing staff.

B. Accompanying the patient to the acute care facility entrance: This is not a specific RN responsibility and can be done by other staff.

C. Writing the discharge instructions: Writing discharge instructions requires the professional judgment of an RN, ensuring that the patient receives comprehensive education about their care post-discharge.

D. Packing the patient's personal belongings: This is a clerical or supportive task and not specific to the RN role.

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While admitting a patient from home to the skilled nursing facility, the nurse notes that the patient has brought medications that are not included on the primary care provider's medication order sheet. The nurse's best initial action is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A patient has an acute care facility discharge order for later that day. The LPN/LVN understands that part of the discharge process to be performed by the registered nurse is:

Correct Answer is C

Explanation

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