Chapter 23 nursing...

Mr. Schaaf is a 68-year-old retired engineer scheduled for shoulder surgery tomorrow in the same-day surgery area of the facility where you are employed. You are making your preop telephone call to reinforce the surgeon’s preoperative instructions and provide information about the same-day surgery area and its policies. When performing patient education, you remind Mr. Schaaf to: (Select all that apply.)

• Bring a robe and slippers and any overnight supplies such as a denture care kit.

• Bring his medications with him.

• Bring only essential items to the hospital.

• Have someone available to take him home after the procedure.

• Report to the same-day surgery unit 1 to 2 hours before the scheduled procedure.

In an acute care facility, the person responsible for the initial nursing assessment is:

• The admissions staff.

• The RN.

• The RN or LVN.

• The primary care provider.

If a patient brings credit cards, cell phone, and jewelry to the hospital, you can provide for their security by: (Select all that apply.)

• Sending items home with the family.

• Storing the items in the bedside drawer.

• Placing the contents in a valuables envelope to be stored in a safe.

• Making a list of all items on a “belongings list” and placing it in the medical record.

• Hiding the valuables in the closet.

When transferring a patient to another facility, copies of pertinent medical records:

• Are the responsibility of the family to deliver to the new facility.

• Must be faxed to the facility or must accompany the patient.

• Are mailed at the time of transfer.

• Must be delivered by hospital messenger because they are confidential.

What information should be included in a discharge summary? (Select all that apply.)

• Patient’s present condition

• Activity restrictions

• Medications administered in the hospital

• Topics covered in discharge patient education

• Diet to be followed

If a patient wants to leave AMA, the nurse:

• Detains the patient until the primary care provider can speak with them.

• Explains that insurance may not pay their bill if they leave the hospital.

• Immediately calls the nursing supervisor to speak to the patient.

• States that security staff will prevent their leaving the hospital.

Orders are verified and sign off by:

• The unit secretary

• The licensed nurse

• The physician

• The nursing supervisor

An autopsy may be required when:

• A patient dies after a 4-day hospitalization

• A patient dies at the hands of another

• A patient dies without being under a primary care provider's care outside the hospital

• The cause of death is unknown

• The patient dies because of an accident