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    Hesi RN Exit Proctored Exam

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    Hesi rn exit proctored exam

    The parent of a 4-year-old has been battling metastatic lung cancer for the past 2 years. After discussing the remaining options with the healthcare provider, the client requests that all treatment stop and that no heroic measures be taken to save the client's life. After the client is transferred to the palliative care unit, which action is most important for the receiving nurse to take in facilitating continuity of care?

    Explanation

    A. Mark the chart with client's request for no heroic measures: While it's essential to document the client's advance directives, this task is administrative and should occur after a complete clinical handoff. It does not, by itself, ensure continuity of comprehensive care. B. Reassure the client that the client's child will be allowed to visit: Emotional support is important, but logistical or emotional reassurance without fully understanding the client's current condition, preferences, and care needs may miss critical aspects of transitional care. C. Provide the client written information about end-of-life care: Offering educational material is helpful but not a priority at the time of transfer. The nurse first needs a clear clinical picture and context to provide care tailored to the client's stage, goals, and comfort. D. Obtain a detailed report from the nurse transferring the client: A thorough handoff ensures the receiving nurse understands the client’s medical history, current condition, treatment preferences, and psychosocial needs. This is foundational for safe, personalized, and continuous palliative care.

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