Nokea
Which of the following should be included in your last nurse's notes entry at discharge?
- A. The patient's condition
- B. Vital signs
- C. The time the patient actually leaves
- D. The method of transportation
- E. Notification of housekeeping
Correct Answer: A,B,C,D
Rationale: The final note should document the patient's condition, vital signs, departure time, and transportation method. Notifying housekeeping is not included in nurse's notes.
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A patient is being admitted from the health-care provider's office to the hospital. Who will the health-care provider contact at the admitting hospital?
- A. Nurse
- B. Physician's assistant
- C. Nurse practitioner
- D. Hospitalist
Correct Answer: D
Rationale: The health-care provider typically contacts the hospitalist, who manages inpatient care.
You are discharging a patient and have a list of duties to perform to complete this discharge. Which of the following responsibilities is most important?
- A. Notifying the laboratory personnel that the test scheduled for today has been canceled
- B. Assisting the patient to dress in his or her own clothes
- C. Redistributing the patient workload for the staff now that a patient is to be discharged
- D. Reconciling the patient's medications
- E. Noting the health-care provider's order to discharge the patient
Correct Answer: D
Rationale: Medication reconciliation ensures patient safety by verifying medications, making it the most critical task.
Which of the following is(are) not included as part of the admission process?
- A. Eating the diet tray ordered by the health-care provider
- B. Obtaining consent to treat
- C. Application of identification bands
- D. Orienting patient and family to the environment
- E. Transporting the patient to physical therapy
Correct Answer: A,E
Rationale: Eating a diet tray and physical therapy transport are not part of admission. Consent, ID bands, and orientation are standard admission tasks.
An RN must assess each patient upon admission to health-care facilities. The source of this requirement is
- A. The Nurse Practice Act.
- B. The facility's policy.
- C. The Joint Commission.
- D. The admission committee.
Correct Answer: A,C
Rationale: The Nurse Practice Act and The Joint Commission set standards requiring RNs to perform initial assessments. Facility policies may reinforce this, but the primary sources are A and C.
Discharge planning may cover many subjects. Which of the following subjects might be included as part of discharge planning?
- A. Teaching how to perform colostomy irrigation
- B. Providing the patient with a list of available community resources, such as Meals on Wheels or Women, Infant, and Children Services
- C. Providing the family with a list of long-term care facilities that would meet their needs
- D. Making a referral to a home health agency
Correct Answer: A,B,C,D
Rationale: All listed subjects support the patient's transition to home or continued care.