The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report. Which nursing actions are the responsibilities of the transferring nurse and the re-ceiving nurse?
a. Incorporating patient goals into the plan
b. Ensuring the patient is stable for transfer
c. Supplying patient documents for planning
d. Providing continuity of care during the transfer
D
A shared responsibility of the sending and the receiving nurses or care team is to regard the tran-sition as a transfer versus a discharge and to provide continuous and consistent nursing care throughout the transfer phase. To accomplish this, the two nurses or groups must have clear, comprehensive communication. The receiving nurse incorporates patient goals into the plan. The sending nurse ensures that the patient is stable for the transfer to prevent decompensation during the trip or shortly after arrival at the new facility. The sending nurse is responsible for providing clear, comprehensive, and complete patient documentation.
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A recent study about suicide risk based on the cultural worldview of African-American and European-Americans shows that:
1. Resilience gives individuals more reasons to live. 2. Difficulty communicating and the ability to integrate new and old information is the reason for suicidal behavior. 3. Constriction of thought, a dyadic event, and/or increased communication skills give individuals more reasons to live. 4. High parental conflict is the reason for suicidal behavior.
How might the nurse best collect the data when performing an admission assessment on a 72-year-old female patient who speaks Spanish and broken English?
A) Have a family member provide the data. B) Obtain the data from the old chart and physician's assessment. C) Obtain the data from the patient. D) Collect the data from the patient and have the family provide any missing details.
The nurse is caring for a 73-year-old female client who is 3 days postoperative for a bowel ob-struction
The nurse knows that the stress response of surgery causes fluid-balance changes in the second to fifth postoperative day, when aldosterone, glucocorticoids, and antidiuretic hormone (ADH) are increasingly secreted, causing sodium and chloride retention and potassium excretion. Because of this, it is important for the nurse to closely monitor: 1. Urine output 2. Intake of sodium 3. Activity level 4. Oxygen level
A patient was seen in the emergency department after sustaining a fractured leg and multiple abrasions in a bicycle accident. Eight hours after discharge the patient is admitted in anaphylactic shock. The nurse would suspect which drugs prescribed for the initial injury as implicated in this reaction?
1. A cephalosporin antibiotic 2. A topical antibiotic for use on abrasions 3. An NSAID for minor pain 4. An opioid analgesic for more severe pain 5. Normal saline wash for abrasions