While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Meet with nursing staff to review the policy regarding advance directives.

Reinforce the potential consequences of not having this information on record to the nursing staff.

Ask nurses who are caring for clients without this information in the medical record to obtain it.

Remind nurses to obtain this information during the admission process.

Answer and Explanation

The Correct Answer is A

A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.

B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.

C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.

D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.

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Correct Answer is B

Explanation

A. Do-not-resuscitate (DNR) status may be relevant but is not typically included in discharge documentation unless the client specifically requests it or it affects their care at home.

B. Reconciled medications are crucial for ensuring the client understands what medications to take at home, including dosages and schedules, making this the most important information to include in discharge documentation.

C. The acuity level of client care is not necessary for discharge documentation, as it pertains more to the care provided during the hospital stay rather than what the client needs at home.

D. Laboratory test results may be important but are not as critical as providing reconciled medication information for the client's safe transition home.

A. "I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile." B. "I will wear a cover gown when caring for a client who has herpes simplex." C. "I will wear an N95 respirator mask when caring for a client who is on contact precautions." D. "I will place a client who requires protective isolation in a negative airflow room."

Correct Answer is B

Explanation

A. Alcohol-based hand cleansers are not effective against Clostridium difficile spores; handwashing with soap and water is necessary.

B. Wearing a cover gown when caring for a client with herpes simplex is appropriate for contact precautions, indicating an understanding of isolation guidelines.

C. An N95 respirator mask is required for airborne precautions, not contact precautions.

D. Clients requiring protective isolation typically do not need to be placed in a negative airflow room, which is reserved for airborne precautions.

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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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