hard · NCLEX-RN Management of Care

The nurse is planning solutions to ensure a safe, legally defensible, and supportive AMA discharge for Mateo. Which of the following interventions should the nurse include in the plan? Select all that apply.

  1. Verify that written prescriptions for oral apixaban are sent to Mateo's pharmacy and confirmed before he exits the unit.
  2. Coordinate with a certified Spanish medical interpreter to review oral medication dosing and bleeding precautions.
  3. Document the certified interpreter's name or ID and modality, and obtain the client's and witness's AMA signatures according to policy if the client agrees.
  4. Withhold all prescriptions and discharge instructions if Mateo refuses to sign the Against Medical Advice (AMA) form.
  5. Delegate the final clinical assessment of Mateo's respiratory status and perfusion to an unlicensed assistive person (UAP).

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