Discharge And Transfer Participation - NCLEX Pn
- Which client statement best indicates correct understanding of when to seek urgent care after discharge?
- "I will seek help for worsening symptoms or new severe shortness of breath." This statement reflects awareness of red-flag symptoms that warrant immediate medical attention to prevent deterioration post-discharge.
- What is the priority discharge teaching for a client prescribed an opioid analgesic?
- Avoid alcohol/sedatives; do not drive; prevent constipation; take as prescribed. Opioid teaching emphasizes safety to prevent interactions, impairment, side effects, and misuse, reducing risks like overdose or accidents.
- What is the primary goal of discharge planning for a client leaving a healthcare facility?
- Ensure safe continuity of care after leaving the facility. Discharge planning aims to facilitate a smooth transition from the facility to home or another care setting, minimizing risks and ensuring ongoing health management.
- Which option is the best next step when a client's caregiver is not present for discharge teaching?
- Delay teaching until caregiver is available or arrange alternative instruction. Caregivers often assist with care, so delaying or adapting teaching ensures instructions are understood and followed at home.
- Which option is the best way to reduce readmission risk during discharge planning?
- Reconcile medications and confirm follow-up plan using teach-back. Medication reconciliation prevents errors, and teach-back confirms understanding of follow-up, both key to minimizing readmission risks.
- Which action is most appropriate before transferring a client with a Foley catheter to another unit?
- Ensure catheter is secured, drainage bag below bladder, and output documented. These steps maintain catheter function, prevent infections, and provide accurate data for the receiving unit's care continuity.
- Which factor most strongly indicates a need for a home safety assessment before discharge?
- New mobility limitations with fall risk. New mobility issues increase fall risks at home, necessitating an assessment to identify and mitigate environmental hazards.
- Which item is essential to include in discharge instructions for wound care at home?
- Dressing steps, frequency, infection signs, and when to call the provider. These elements empower clients to manage wounds independently while recognizing complications that require professional intervention.
- Which action is best if discharge instructions conflict with the written prescription label?
- Hold discharge teaching and clarify with the provider/pharmacy. Clarifying discrepancies prevents medication errors and ensures instructions align with prescribed therapy for patient safety.
- What is the most appropriate discharge instruction regarding follow-up appointments?
- Provide date/time, location, reason, and how to reschedule if needed. Detailed instructions ensure clients attend follow-ups, which are crucial for monitoring progress and preventing complications.
- What does SBAR stand for in handoff communication during transfer or discharge?
- Situation, Background, Assessment, Recommendation. SBAR is a standardized communication tool that organizes essential information to enhance clarity and safety during handoffs.
- Which action best defines the nurse's role in discharge and transfer participation?
- Coordinate, teach, and communicate to promote safe transitions. Nurses facilitate effective discharges and transfers by organizing resources, educating clients, and ensuring clear communication among the healthcare team.
- Which finding indicates a client may not be ready for discharge teaching at this time?
- Uncontrolled pain or acute distress limiting attention. Acute pain or distress impairs concentration and retention, making it ineffective to conduct teaching until the condition is managed.
- Which instruction is priority for a client discharged with oxygen therapy at home?
- No smoking/open flames; keep oxygen away from heat sources. Oxygen is highly flammable, so fire safety instructions are critical to prevent explosions or fires in the home environment.
- Which document is most essential to send with a client transferred to another facility?
- Current transfer summary including condition, orders, and SBAR. A transfer summary provides critical information to the receiving facility, ensuring seamless continuation of care and reducing errors.
- Which action is most appropriate if a client refuses discharge due to feeling unsafe at home?
- Notify the provider and case management; reassess and revise the plan. Refusal signals potential risks, requiring reassessment to address concerns and modify the plan for safe discharge.
- What is the nurse's legal responsibility regarding discharge instructions?
- Provide, verify understanding, and document teaching and client response. Nurses must fulfill legal duties by delivering instructions, assessing comprehension, and documenting to ensure accountability and patient safety.
- What is the best method to verify a client's understanding of discharge instructions?
- Teach-back method. Teach-back requires clients to explain instructions in their own words, confirming comprehension and identifying misunderstandings.
- What is the earliest appropriate time to begin discharge planning for an inpatient client?
- At admission (or first client contact). Initiating discharge planning early allows for timely identification of needs, coordination of resources, and preparation for post-discharge care.
- Which discharge component best supports continuity of care for chronic disease management?
- Written care plan with self-management steps and follow-up monitoring. A written plan provides structured guidance for self-care and monitoring, enhancing adherence and reducing exacerbations in chronic conditions.
- Which teaching topic is the highest priority for a client being discharged with new medications?
- Medication name, purpose, dose, schedule, and key adverse effects. Educating on these elements promotes adherence, prevents errors, and enables clients to recognize and report potential issues promptly.
- What is the nurse's priority when a client is transferred between units within the same facility?
- Provide an accurate handoff and ensure continuity of orders and care. Accurate handoff maintains care continuity, prevents disruptions in treatment, and ensures patient safety during intra-facility transfers.