A nurse is giving change-of-shift report about a client who is 36-hr postoperative to another nurse. Which of the following should the nurse include?
Daily bath given at 1000
Vomited a large amount of emesis immediately after surgery
Flushed IV with 0.9% sodium chloride
Pain relieved by position change
The Correct Answer is D
A. Routine activities such as daily baths are not typically pertinent information to include in a change-of-shift report unless they have a significant impact on the client's condition or care.
B. While vomiting after surgery may be noteworthy, the timing and amount of emesis
immediately after surgery may not be relevant to the client's current condition, especially if it was an isolated incident.
C. Flushing the IV with normal saline is a routine nursing intervention and may not be necessary to report unless there were specific concerns or complications related to the IV.
D. Pain relief is an important aspect of postoperative care and should be included in the report to ensure continuity of care and appropriate pain management for the client.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- A) Hyperreflexia is a common symptom of opioid withdrawal, as the nervous system reacts to the absence of the drug. Patients may experience increased reflex actions and muscle spasms due to the sudden change in opioid levels.
- B) Meiosis, or pupil constriction, is not typically a withdrawal symptom; it is more commonly associated with opioid use. During withdrawal, pupils are likely to dilate rather than constrict.
- C) Euphoria is a feeling of intense happiness or excitement, which is often experienced after taking opioids. During withdrawal, individuals are more likely to experience dysphoria, which is a state of unease or dissatisfaction.
- D) Hypothermia is not a recognized symptom of opioid withdrawal. Instead, individuals may experience fever or chills as the body adjusts to the lack of opioids.
Correct Answer is A
Explanation
A.
A. Brainstorming sessions are designed to generate new ideas and solutions by encouraging free thinking and creativity among participants. This approach can be effective in generating
innovative strategies to address public health concerns.
B. While a community-wide program may be part of addressing the issue, it does not inherently involve generating new ideas but rather implementing existing strategies on a larger scale.
C. Role-playing with nurses may be a training method to improve communication or intervention skills, but it is not specifically aimed at generating new ideas to address public health concerns.
D. Personal discussions with clients are important for providing individualized care and support but may not directly contribute to generating new ideas to address community-wide public health concerns.
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