Chapt. 23 Admitting, Transferring, and D/C'g patients
In an acute care facility, the person responsible for the initial nursing assessment is:
A - The admissions staff
B - The RN
C - The RN or LPN
D - The primary care provider
B - The RN
Rationale: Within the hospital, the RN is the person who must complete the admission assessment. The LPN may assist.
Orders are verified and signed off by:
A - The unit secretary
B - The licensed nurse
C - The physician
D - The nursing supervisor
B - The license nurse
Rationale: Orders are transcribed by the charge nurse or unit secretary but are verified and signed off by the RN or LPN.
What information should be included in a discharge summary? (select all that apply).
A - Patient's present condition
B - Activity restrictions
C - Medications administered in the hospital
D - Topics covered in discharge patient education
E - Diet to be followed
A, B, E
Rationale: A discharge summary must contain info about the patient's current condition, a list of discharge medications (not necessarily those administered in the hospital), the diet to be followed, and activity restrictions.
An autopsy may be required when: (select all that apply).
A - A patient dies after a 4-day hospitalizationB - A patient dies at the hands of another
C - A patient dies without being under a primary care provider's care outside the hospital
D - The cause of death is unknown
E - The patient dies because of an accident
B, C, D
Rationale: An autopsy is usually required if the patient has not been under the care of a primary care provider for some time, if the cause of death is unknown, or if murder is a possibility.