A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Primary health problem

Admission vital signs from 1 week ago

Scheduled times for dressing changes

Number of family members who have visited

Current medication prescriptions

Answer and Explanation

Correct Answer : A,C,E

A. Primary health problem: This is correct as it provides critical context for the client's current condition and the reason for the transfer.
B. Admission vital signs from 1 week ago: This is incorrect because recent vital signs are more relevant to the current status of the client; historical data from a week ago is less pertinent.
C. Scheduled times for dressing changes: This is correct as it is important for the receiving unit to know about ongoing care needs related to wound management.
D. Number of family members who have visited: This is incorrect as it does not pertain to the client's medical condition or immediate care needs.
E. Current medication prescriptions: This is correct as it is essential for the new care team to have information on the medications the client is currently taking to ensure continuity of care.

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Correct Answer is D

Explanation

A. "You should not have sexual intercourse while the monitor is in place.": This is incorrect because sexual activity is generally not restricted while wearing a Holter monitor. The main focus is on ensuring the monitor remains attached.
B. "You can bathe while wearing the electrodes.": This is incorrect because bathing or getting the electrodes wet can interfere with the monitor's functionality and potentially lead to inaccurate readings.
C. "You should remove the electrodes when you go to bed.": This is incorrect because the electrodes should remain in place for the full 24-hour period to ensure continuous monitoring.
D. "You will need to record daily activities in a diary.": This is correct as recording activities in a diary is crucial for correlating symptoms with the Holter monitor data.

A. Duodenal ulcer B. Biliary colic C. Ulcerative colitis D. Chronic constipation

Correct Answer is C

Explanation

A. Duodenal ulcer: This is not a known risk factor for colorectal cancer. It primarily affects the duodenum, not the colon.
B. Biliary colic: This condition relates to gallbladder issues and is not associated with an increased risk of colorectal cancer.
C. Ulcerative colitis: This is correct as ulcerative colitis is a chronic inflammatory condition that increases the risk of colorectal cancer due to prolonged inflammation and irritation of the colon.
D. Chronic constipation: While chronic constipation may cause discomfort, it is not a direct risk factor for colorectal cancer. However, it is important to manage bowel habits to reduce overall gastrointestinal discomfort.

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A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who will be wearing a Holter monitor for the next 24 hr. Which of the following information should the nurse include?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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