A nurse is giving change-of-shift report on a group of clients. Which of the following statements should the nurse make? (Select all that apply.)
"The client in room 204 received some pain medicine earlier today."
"The client in room 205 has had several visitors."
"The client in room 205 is scheduled for a dressing change at 1800."
"The client in room 203 will undergo surgery at 0900 tomorrow."
"The client in room 204 has a new prescription for IV gentamicin."
Correct Answer : C,D,E
A. "The client in room 204 received some pain medicine earlier today." is incorrect. This statement is not specific enough to be relevant during change-of-shift report, as the timing of medication administration is important for the next nurse to know and track. A more precise update would be more helpful.
B. "The client in room 205 has had several visitors." is incorrect. While visitation may be useful to mention if it affects the patient's condition or treatment, it's not essential information for the nurse taking over the care of the client.
C. "The client in room 205 is scheduled for a dressing change at 1800." is correct. This provides necessary information about a planned procedure and ensures the next nurse is aware of it for timely management.
D. "The client in room 203 will undergo surgery at 0900 tomorrow." is correct. This provides critical information regarding the client's schedule and helps the next nurse prepare for the upcoming surgery.
E. "The client in room 204 has a new prescription for IV gentamicin." is correct. This is important information for the next nurse, as it indicates a change in the client's treatment plan and ensures appropriate medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Limiting the number of choices for the client is correct. Clients with Alzheimer's disease can become overwhelmed by too many options. Offering simple choices, such as "Would you like tea or juice?" instead of an open-ended question, helps reduce confusion and frustration.
B. Using written signs to assist with locating the bathroom is incorrect. While cues can be helpful, clients with Alzheimer's disease often experience difficulty processing written information as the disease progresses. Using pictures or symbols instead of words is more effective.
C. Providing a stimulating environment for the client is incorrect. An overly stimulating environment can increase agitation and confusion. A calm, structured setting with minimal distractions is better for clients with Alzheimer's disease.
D. Using confrontation to manage the client’s behavior is incorrect. Confronting or arguing with a client who has Alzheimer's disease can lead to increased agitation and distress. Instead, caregivers should use redirection and reassurance to manage behaviors effectively.
Correct Answer is C
Explanation
A. Make sure the crib mattress is soft.: A soft mattress is a suffocation hazard for an infant. It is recommended to use a firm mattress to reduce the risk of sudden infant death syndrome (SIDS).
B. Start using a highchair for feedings.: At 3 months of age, most infants are not developmentally ready to sit in a highchair. Feeding typically occurs while the infant is held or propped in a reclined position. Highchairs are usually introduced later, around 6 months of age, when the infant has better head and neck control.
C. Remove bibs when the infant is going to sleep.: Bibs and other items that could potentially obstruct the infant's airway should be removed before sleep to reduce the risk of suffocation. This is an important safety measure to ensure the infant's safety while sleeping.
D. Place no more than one small pillow in the crib.: Pillows should not be placed in the crib for infants, as they present a suffocation hazard. It is recommended to keep the crib free from any soft bedding, including pillows and blankets, to promote safe sleep.
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