Before They Leave

Froggy Jumps

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Test your safe discharge judgment.

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RNPRPEPBESTIE

United States

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Before They Leave


Froggy Jumps Before They LeaveVersion en ligne Test your safe discharge judgment. par RNPRPEPBESTIE 1 During discharge review, you notice outpatient follow-up is listed as “patient to schedule.” The patient states transportation is limited and clinic hours conflict with work. Vital signs remain stable. What reflects professional accountability? a Document discussion and proceed b Encourage the patient to call when available c Request follow-up be scheduled before discharge 2 While reviewing discharge instructions, medication times are written as “three times daily.” Inpatient doses were spaced precisely every 6 hours. The patient states, “I’ll just take them when I remember.” What is the strongest action? a Reinforce importance verbally b Clarify and document exact timing schedule in writing c Recommend phone reminders 3 A UAP begins reviewing discharge paperwork with the patient while you are finalizing another task. The patient asks detailed questions about medication timing and worsening symptoms. What reflects appropriate RN responsibility? a Ask the patient to wait for provider b Allow UAP to complete review c Step in to personally verify education and understanding 4 The discharge order was entered yesterday. Today, the patient reports fluctuating weakness with increased fatigue during ambulation, though vital signs remain stable. What demonstrates sound clinical judgment? a Reevaluate discharge readiness and notify provider if needed b Encourage rest before leaving c Proceed with discharge as previously ordered 5 Before discharge, the patient states, “If I feel weaker at home, I’ll just wait it out.” There are no documented return precautions. What is the most appropriate nursing action? a Advise seeking care if breathing worsens b Provide clear written return precautions and review them c Document patient statement 6 During discharge teaching, the patient says, “I’ll try to take them around breakfast, lunch, and bedtime.” Inpatient doses were spaced every 6 hours. What reflects sound professional judgment? a Encourage consistency with meals b Clarify exact time intervals and document specific schedule in writing c Advise setting phone alarms 7 While reviewing home medications, you notice a similar drug listed that was not continued inpatient. The patient states, “I’ll just keep taking both to be safe.” What is the strongest nursing action? a Advise discontinuing the home medication b Document patient statement and reinforce safety c Clarify medication reconciliation with the provider before discharge 8 The patient states, “If I can’t afford it this month, I’ll skip doses until payday.” Vital signs are stable and discharge is pending. What demonstrates RN-level accountability? a Encourage contacting the pharmacy for discounts b Document cost concern and proceed c Pause discharge and request medication assistance support before leaving 9 Case management was consulted but has not yet seen the patient. Discharge paperwork is ready and the patient appears calm. What reflects appropriate implementation judgment? a Proceed since consult was placed b Provide general community resource list c Confirm consult completion and documented plan before discharge 10 During teach-back, the patient repeats instructions but hesitates when describing what symptoms require urgent care. What is the strongest next step? a Reinforce the main warning signs verbally b Reassess understanding and clarify return precautions before discharge c Document partial understanding 11 The provider states, “Everything looks stable. We can discharge.” You remain concerned about unclear medication timing and no written plan. What reflects professional responsibility? a Encourage patient to follow up independently b Communicate specific discharge safety gaps before finalizing discharge c Document provider approval and proceed 12 While finalizing discharge, you notice there is no documentation confirming medication affordability was addressed. The patient previously expressed concern. What is the most appropriate action? a Reassess financial access and coordinate support before discharge b Advise patient to call insurance c Document that education was provided 13 The patient asks if rest breaks are “really necessary” at home. There is no written activity guidance in discharge instructions. What demonstrates safe planning? a Encourage gradual return to normal routine b Provide specific activity pacing instructions in writing and review them c Reassure that symptoms fluctuate 14 A follow-up appointment is scheduled three months out. The patient reports symptoms fluctuate daily. What reflects strong discharge judgment? a Advise calling if symptoms worsen b Accept the scheduled appointment c Clarify appropriateness of follow-up timing before discharge 15 You are completing documentation and consider writing, “Patient verbalized understanding.” Teach-back was incomplete and financial concerns unresolved. What reflects safe documentation practice? a Leave documentation minimal b Document understanding to complete discharge c Document remaining gaps and actions taken before discharge

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Before They Leave

Froggy Jumps

À propos de cette activité

Créé par

Téléchargez la version pour jouer sur papier

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Before They LeaveVersion en ligne

par RNPRPEPBESTIE

During discharge review, you notice outpatient follow-up is listed as “patient to schedule.” The patient states transportation is limited and clinic hours conflict with work. Vital signs remain stable. What reflects professional accountability?

While reviewing discharge instructions, medication times are written as “three times daily.” Inpatient doses were spaced precisely every 6 hours. The patient states, “I’ll just take them when I remember.” What is the strongest action?

A UAP begins reviewing discharge paperwork with the patient while you are finalizing another task. The patient asks detailed questions about medication timing and worsening symptoms. What reflects appropriate RN responsibility?

The discharge order was entered yesterday. Today, the patient reports fluctuating weakness with increased fatigue during ambulation, though vital signs remain stable. What demonstrates sound clinical judgment?

Before discharge, the patient states, “If I feel weaker at home, I’ll just wait it out.” There are no documented return precautions. What is the most appropriate nursing action?

During discharge teaching, the patient says, “I’ll try to take them around breakfast, lunch, and bedtime.” Inpatient doses were spaced every 6 hours. What reflects sound professional judgment?

While reviewing home medications, you notice a similar drug listed that was not continued inpatient. The patient states, “I’ll just keep taking both to be safe.” What is the strongest nursing action?

The patient states, “If I can’t afford it this month, I’ll skip doses until payday.” Vital signs are stable and discharge is pending. What demonstrates RN-level accountability?

Case management was consulted but has not yet seen the patient. Discharge paperwork is ready and the patient appears calm. What reflects appropriate implementation judgment?

During teach-back, the patient repeats instructions but hesitates when describing what symptoms require urgent care. What is the strongest next step?

The provider states, “Everything looks stable. We can discharge.” You remain concerned about unclear medication timing and no written plan. What reflects professional responsibility?

While finalizing discharge, you notice there is no documentation confirming medication affordability was addressed. The patient previously expressed concern. What is the most appropriate action?

The patient asks if rest breaks are “really necessary” at home. There is no written activity guidance in discharge instructions. What demonstrates safe planning?

A follow-up appointment is scheduled three months out. The patient reports symptoms fluctuate daily. What reflects strong discharge judgment?

You are completing documentation and consider writing, “Patient verbalized understanding.” Teach-back was incomplete and financial concerns unresolved. What reflects safe documentation practice?