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UNIT 8: CHAPTER 45ADMISSION, TRANSFER, AND DISCHARGE WORKBOOK PRATICE TEST ACTIVITY A Each continuous period of time a client spends in a facility is considered one _________________________A client’s bed should be put in _________________________ position, regardless of whether the client can get in and out of bed without assistanceTemperature, pulse, _________________________ and blood pressure are called vital signs because they must be present for a person’s life to continue _________________________ deprives a person of personality, spirit, privacy, and other human qualitiesIf the height of a client who cannot stand is measured when he is in bed, it is recorded as _________________________ height ACTIVITY C_____ +1 anxiety _____ +2 anxiety _____ +3 anxiety _____ panic DreadIncreased pulse rate Apprehension Paranoia ACTIVITY DWhat are the responsibilities of the admitting department?What are the responsibilities of the nurse once the client arrives at the nursing unit?What are the financial concerns of a client admitted to a healthcare facility?How can the nurse assist in orienting the client to the room?What is the purpose of an advance directive?What are the reasons a client may transferred to another unit?ACTIVITY EA nurse is caring for an elderly client who needs assistance in dressing and undressing. How can the nurse help the client who is embarrassed and uneasy during the procedure?A client with Alzheimer disease has just been admitted to the Alzheimer unit of the healthcare facility. What care should the nurse take with respect to the client’s personal belongings? ACTIVITY F A nurse is assigned to care for a client who is to be admitted to the healthcare facility. What care should the nurse take with respect to the client’s bed? Select all that applyExplain the bed controls to the client and familyAdjust the height of the bed according to the client’s height Adjust the entire bed to a lower position Adjust the foot of the bed for the client’s comfortAdjust the head of the bed so that it is always flat A nurse is caring for an elderly client with urine incontinence. How can the nurse care for the client while maintaining the client’s privacy?Explain that street clothes are not convenient to perform tests and proceduresAsk the client not to leave the room without prior permission Ask the client to change into hospital clothes as per hospital rulesExplain that gowns helps to identify the unit to which the client belongs A client has been admitted to the healthcare facility for the first time. The client is anxious about being alone in an unfamiliar environment, especially when he is ill. What should the nurse do to alleviate anxiety and fear in the client?Ask a family member to accompany the client at all timesExplain how the signal light in the bathroom can help the clientTell the client to wait until the nurse comes by during rounds Assume that the client is aware of the use of the “nurse call” signalA 5-year-old child with a high fever is admitted to the healthcare facility. The child is scared of being in a new place with strangers and is throwing tantrums, making it difficult to care for her. How can the nurse help this child?Ask a colleague to help in feeding the childPrevent the parents from fussing over the childProvide the child with toys and booksAsk a colleague to help in dressing the child Which instruction should the nurse provide the client who has been admitted to a healthcare facility regarding his eyeglasses?Place them on the bedside table or drawer and inform him where they have been placedHand them over to the client’s family for safekeepingKeep them in the facility’s safe along with other valuablesTell the client that the facility is not liable for his possessionsAn LPN is assigned to care for a client at the healthcare facility. Which of the following is the role of the LPN?Notify the healthcare provider of the client’s arrivalCheck the healthcare provider’s orders for the client’s dietConfirm that the client’s diet order has been placedAssess the vital signs of the client During the admission interview, the nurse measures and records the initial height and weight of the client. Why is it necessary to compare the client’s weight with the height?To determine the effectiveness of feedingsTo determine whether the client is overweight To calculate the medication dosageTo identify the possibility of fluid retention Which client would need to be transferred to another unit?A client who has just delivered a babyA client who is capable of going home to self-careA client who returns after leaving the facility without information A client who might leave the facility against medical adviceA client has been admitted to the healthcare facility for the first time. Which of the following is the responsibility of the nurse once the client arrives at the nursing unit?Attaching an identification band with the client’s name and agency identification Arranging for diagnostic testsPreparing the client for the admission examination Ensuring the client signs documents giving consent for treatment A nurse has been told that the assigned client has to be transferred to another unit. What are reasons a client may be transferred to another unit? Select all that applyThe client requires a more active environment for recoveryAssignment to a certain unit is permanent The client is disturbing others and needs a private roomThe client’s condition is more acute than originally determined The client needs to be moved to postsurgical care unit after surgery NCLEX-STYLE QUESTIONS CHAPTER 45A client is being prepared for surgery and states, “I am so scared and nervous.” What actions by the nurse will help alleviate the anxiety felt by the client?Allow the client to express feelings Inform the client there is no time to have second thoughts Tell the client that there is nothing to worry about Inform the client that if unable to calm down, the surgery will be cancelledWhen asking a client sensitive personal questions related to admission, what action should the nurse take to avoid dehumanizing the client?Do not maintain eye contact with the client when asking the questionsRapidly go through the questions so that the client doesn't have time to become embarrassedTell the client not to answer anything the client doesn't want to answerDevelop rapport and trust with the client prior to beginning the interview The nurse is updating the “communication board” in the client’s room. What information should the nurse be sure to include? Select all that applyThe dateThe nurse’s nameThe diagnosis The provider’s name Results of current laboratory studies A client is scheduled for an invasive diagnostic procedure. The nurse observes the client unable to sit still, sweating, elevated blood pressure and heart rate, and trouble breathing. What anxiety level does the nurse notify the care provider that the client is experiencing?+1+2+3 Panic The nurse is preparing to bathe a client. The client states, “I feel embarrassed that I can’t do this myself.” What action by the nurse can assist with maintaining the client’s dignity?Avoid bathing the client until a family member comes in to do it Provide as much privacy as possible during the bathAdminister sedation prior to giving the client a bath Inform the charge nurse the client refuses the bath ................
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