Chapter 10 Admission Transfer and Discharge

Chapter 10 Admission Transfer and Discharge

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)Orders have been written to discharge the following four clients when stable from the ambulatorysurgical unit. The nurse needs to evaluate readiness for discharge for each client. The nurse willfirst evaluate the client who has had:1)A)Cataract surgery and has a mild headache.B)An arteriovenous shunt placed for renal dialysis and is feeling nauseous.C)A bronchoscopy and is to resume fluids and food as tolerated.D)The first cycle of chemotherapy for prostate cancer and has not yet voided.Answer:CExplanation:A)All of the clients must have a final discharge evaluation by the nurse prior todischarge. The question is asking that the nurse determine in what order this isbest done. The client who has had a bronchoscopy and has not yet taken fluidsmust be assessed for gag reflex and evaluated for swallowing ability. The clientwith a mild headache following cataract surgery is not the priority for evaluation.Shunt patency must be assessed prior to discharge; a feeling of nausea is not apriority for evaluation. The client who has not yet voided should be seen next afterthe priority client.EvaluationPhysiological Integrity-Reduction of Risk PotentialAnalysisB)All of the clients must have a final discharge evaluation by the nurse prior todischarge. The question is asking that the nurse determine in what order this isbest done. The client who has had a bronchoscopy and has not yet taken fluidsmust be assessed for gag reflex and evaluated for swallowing ability. The clientwith a mild headache following cataract surgery is not the priority for evaluation.Shunt patency must be assessed prior to discharge; a feeling of nausea is not apriority for evaluation. The client who has not yet voided should be seen next afterthe priority client.EvaluationPhysiological Integrity-Reduction of Risk PotentialAnalysisC)All of the clients must have a final discharge evaluation by the nurse prior todischarge. The question is asking that the nurse determine in what order this isbest done. The client who has had a bronchoscopy and has not yet taken fluidsmust be assessed for gag reflex and evaluated for swallowing ability. The clientwith a mild headache following cataract surgery is not the priority for evaluation.Shunt patency must be assessed prior to discharge; a feeling of nausea is not apriority for evaluation. The client who has not yet voided should be seen next afterthe priority client.EvaluationPhysiological Integrity-Reduction of Risk PotentialAnalysis1
D)All of the clients must have a final discharge evaluation by the nurse prior todischarge. The question is asking that the nurse determine in what order this isbest done. The client who has had a bronchoscopy and has not yet taken fluidsmust be assessed for gag reflex and evaluated for swallowing ability. The clientwith a mild headache following cataract surgery is not the priority for evaluation.Shunt patency must be assessed prior to discharge; a feeling of nausea is not apriority for evaluation. The client who has not yet voided should be seen next afterthe priority client.EvaluationPhysiological Integrity-Reduction of Risk PotentialAnalysis2)A registered nurse (RN) asks the LPN/LVN to begin filling out the final discharge summary formfor a client who is being transferred to a long-term care facility. Based on the scope of practice forthe LPN/LVN, what information should be gathered? (Select all that apply.)2)A)Client’s comments about the transferB)Presence of a flat, reddened rash across the lower abdomenC)Vital signs, including temperature, pulse, respirations, blood pressure, and pain levelD)Presence of bowel soundsE)Presence of decreased breath sounds in the left lungF)Level of consciousnessAnswer:A, B, C, D, E, FExplanation:A)The LPN/LVN scope of practice allows all of the listed assessments to be done bythe LPN/LVN as part of the admission, transfer, and discharge of a client.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationB)The LPN/LVN scope of practice allows all of the listed assessments to be done bythe LPN/LVN as part of the admission, transfer, and discharge of a client.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationC)The LPN/LVN scope of practice allows all of the listed assessments to be done bythe LPN/LVN as part of the admission, transfer, and discharge of a client.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationD)The LPN/LVN scope of practice allows all of the listed assessments to be done bythe LPN/LVN as part of the admission, transfer, and discharge of a client.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationE)The LPN/LVN scope of practice allows all of the listed assessments to be done bythe LPN/LVN as part of the admission, transfer, and discharge of a client.AssessmentSafe, Effective Care Environment-Coordinated CareApplicationF)The LPN/LVN scope of practice allows all of the listed assessments to be done bythe LPN/LVN as part of the admission, transfer, and discharge of a client.AssessmentSafe, Effective Care Environment-Coordinated CareApplication2
3)The night shift nurse is making rounds after a change-of-shift report, and is checking on a clientwho was admitted earlier in the day. When asked, the client states that she is feeling “okay” andasks the nurse how to lower the head of her bed because she wants to go to sleep. The most likelyexplanation for the client’s request is that:3)A)The client has some dementia and forgets information.B)Not all of the information given to a client during admission is readily recalled.C)The nurse who did the admission did not explain how to use the bed controls.D)The client is feeling powerless because of the hospitalization.Answer:BExplanation:A)A large amount of information is given to a client during the admission procedure.Most people do not recall 100 percent of the information given to them at any time.The client is experiencing whatever concerns the hospitalization may be causingand it cannot be assumed that all of the admission orientation information is beingprocessed and retained. Admission information may need to be repeated,especially that which applies to the client’s safety. No information is given in thescenario about the client’s diagnosis, age, or physical or emotional status so thechoices regarding the client having dementia and feeling powerless can beeliminated. Although it is possible that the admitting nurse did not give the clientthe information, this is less likely to be the cause of the request.EvaluationPsychosocial IntegrityAnalysisB)A large amount of information is given to a client during the admission procedure.Most people do not recall 100 percent of the information given to them at any time.The client is experiencing whatever concerns the hospitalization may be causingand it cannot be assumed that all of the admission orientation information is beingprocessed and retained. Admission information may need to be repeated,especially that which applies to the client’s safety. No information is given in thescenario about the client’s diagnosis, age, or physical or emotional status so thechoices regarding the client having dementia and feeling powerless can beeliminated. Although it is possible that the admitting nurse did not give the clientthe information, this is less likely to be the cause of the request.EvaluationPsychosocial IntegrityAnalysisC)A large amount of information is given to a client during the admission procedure.Most people do not recall 100 percent of the information given to them at any time.The client is experiencing whatever concerns the hospitalization may be causingand it cannot be assumed that all of the admission orientation information is beingprocessed and retained. Admission information may need to be repeated,especially that which applies to the client’s safety. No information is given in thescenario about the client’s diagnosis, age, or physical or emotional status so thechoices regarding the client having dementia and feeling powerless can beeliminated. Although it is possible that the admitting nurse did not give the clientthe information, this is less likely to be the cause of the request.EvaluationPsychosocial IntegrityAnalysis3
D)A large amount of information is given to a client during the admission procedure.Most people do not recall 100 percent of the information given to them at any time.The client is experiencing whatever concerns the hospitalization may be causingand it cannot be assumed that all of the admission orientation information is beingprocessed and retained. Admission information may need to be repeated,especially that which applies to the client’s safety. No information is given in thescenario about the client’s diagnosis, age, or physical or emotional status so thechoices regarding the client having dementia and feeling powerless can beeliminated. Although it is possible that the admitting nurse did not give the clientthe information, this is less likely to be the cause of the request.EvaluationPsychosocial IntegrityAnalysis