A client is preparing for discharge after a month-long hospitalization for complications of his cardiac surgery and diabetes. He tells his nurse that he forgot to mention that he takes Viagra at home and asks if it is still okay to take it
His question is directly related to which of these four of the six National Patient Safety Goals set forth by the Joint Commission (formerly JCAHO)? a. Communication c. Medication safety
b. Patient identification d. Medication reconciliation
D
The Joint Commission's Patient Safety Goal # 8 concerns medication reconciliation, which is
"accurately and completely reconcile medications across the continuum of care.". Mr. Z's question
concerning his Viagra use reveals his use of a medication that he neglected to mention to his health
care provider. This information should be given to his health care provider and to the pharmacist
before he is discharged, and he should be informed not to take his Viagra until he hears from his health
care provider about what to do.
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A patient consents to be hospitalized for psychiatric treatment. This is a _______________ _________________________ admission
ANS:
You are discussing a patient with polymyositis with a care team consisting of a physician, a social worker, OT and PT, and a home health nurse
The home health nurse reports that the patient's proximal muscle weakness has gotten more pronounced. The home health nurse asks for a referral to and OT and PT to assess for what? A) Exercises to strengthen the muscles B) Possible assistive devices to help with ADLs C) Family educational needs D) Social support network
A patient is admitted into a substance abuse treatment center and is withdrawing from alcohol. Which statement made by the patient's family member shows a need for further education?
a. "Withdrawal symptoms can begin within a few hours of discontinuation of drinking." b. "Withdrawal symptoms will improve within 24 hours." c. "Less than 1% of patients develop delirium tremens." d. "Benzodiazepines are commonly used for detoxification."
After administering a medication, the nurse notes that the client has itching and a runny nose. What is the nursing priority?
1. Document the findings 2. Assess vital signs 3. Notify the charge nurse 4. Monitor the client closely