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    HESI RN Exit Proctored ExamQuestion 100
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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 & Rationale

    A. Provide the client written information about end-of-life care. Although educating patients is a fundamental nursing duty, distributing pamphlets is a task-oriented activity that does not support "continuity of care." The client may be emotionally or physically worn out at the time of transfer. It is early and lacks the essential clinical handoff between specialists to provide them documentation before developing a therapeutic relationship or comprehending their current problems. B. Mark the chart with client's request for no heroic measures. This document outlines the need for thorough documentation and clerical work in clinical settings, emphasizing its importance for safety by preventing undesirable outcomes. It highlights that while the act of documentation is static, the process of continuity of care is dynamic. Specifically, it notes that simply marking a chart does not adequately communicate critical information such as the client's discomfort level, medication schedule, or emotional state regarding their child. C. Reassure the client that the client's child will be allowed to visit. This psychosocial intervention is outstanding. This is a significant cause of worry for a parent of a small child. On the other hand, "continuity of care" describes the more comprehensive transfer of the nursing and medical plan. Until you have the whole report on the client's status and the capabilities of the unit, you cannot properly reassure the client about certain unit policies (such as kid visitation in a sterile or restricted area). D. Obtain a detailed report from the nurse transferring the client. This is the gold standard for Continuity of Care. A professional handoff (usually via SBAR) ensures that the receiving nurse knows exactly where the previous nurse left off.

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