What should the nurse include during discharge in addition to verbal instructions? (Select all that apply.)
a. Written instructions for the patient's reference
b. A phone number of the provider or hospital unit for follow-up questions
c. Written instructions for monitoring of parameters used to evaluate therapy
d. Documentation in the nurse's discharge notes of the nursing and collaborative problems that require continued monitoring and intervention
e. Identification of the patient's unreasonable expectations of therapy
ANS: A, B, C, D
Learning is an ongoing process. Verbal instructions should be followed up with instructions in writing. Patients should be given a contact number for future reference. Written instructions for monitoring of parameters used to evaluate therapy should be given to the patient. Documentation is an essential part of validating the patient's understanding of the instructions provided. Although identifying the patient's expectations will affect the outcome, they are not part of the discharge planning documentation.
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