A nurse is providing a change-of-shift report for a client. Which of the following information should the nurse include in the report?

"The client's partner visited earlier today for 2 hours."

"The client received the prescribed antibiotic every 8 hours."

"The client reports pain is reduced when he is positioned on his side."

"The client's mother died 4 years ago from breast cancer."

Answer and Explanation

Correct Answer : B,C

The client received the prescribed antibiotic every 8 hours: This is important information as it relates to the client's medication administration and treatment plan. It allows the incoming nurse to be aware of the medication schedule and ensure continuity of care.

The client reports pain is reduced when positioned on his side: This is significant information as it informs the incoming nurse about the client's preferred position for pain management. It helps guide the nurse in providing comfort measures and appropriate positioning for the client.

The client's mother died 4 years ago from breast cancer: This information may not be considered vital for the change-of-shift report unless it directly impacts the client's current condition or ongoing care.

While it's important to document visitors and support persons, this information may not be considered crucial for the change-of-shift report unless it directly impacts the client's care or well-being.

In summary, the nurse should include information that is pertinent to the client's immediate care needs and current condition. This includes medication administration, pain management preferences, changes in condition, or any relevant information that may impact the client's care plan.

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Correct Answer is B

Explanation

Let me show you how to swaddle and cuddle him, then you try.

The appropriate response for the nurse in this situation is to provide support and education to the new mother. Option B, "Let me show you how to swaddle and cuddle him, then you try," demonstrates a helpful and empowering approach.

I'll take him back to the nursery, so you can get some rest in (option A) is incorrect. This response dismisses the mother's concerns and suggests removing the baby from her care without addressing her need for guidance and support. It is important to encourage and assist the mother in learning how to care for her newborn rather than taking over the responsibility.

If I turn him on his side, maybe he'll go back to sleep in (option C) is incorrect. This response suggests a specific action without addressing the underlying concerns of the mother. It is important to provide guidance and reassurance rather than suggesting potential solutions without understanding the cause of the baby's crying.

Babies need to cry soon after they are born to develop their lungs in (option D) is incorrect. This response is not relevant to the mother's concerns and does not address her feelings of inadequacy. It is important to provide support and guidance in caring for the newborn rather than providing unrelated information.

A. Name of the client B. Client's telephone number C. Room number of the client D. Client's full medical diagnosis

Correct Answer is A

Explanation

a. To ensure accurate identification and avoid medication errors, the nurse should use at least two patient identifiers, such as the client's full name and date of birth. This information is critical in verifying that the right patient receives the correct medication.

b.While a telephone number could potentially be used as an identifier, it is not typically used in acute care settings due to the possibility of errors or outdated information. It is also not practical as a primary means of patient identification.

c.Knowing the client's room number is important to confirm the correct location of the client in the acute care setting. This helps ensure that the nurse administers the medications to the correct client. However, the room number alone is not sufficient for accurate client identification. Room numbers may change, and multiple clients may share the same room. Relying on the room number alone can lead to errors.

d.While the client's diagnosis is important for understanding their medical condition and providing appropriate care, it is not specifically required for identifying the client when administering medications.

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A nurse is providing a change-of-shift report for a client. Which of the following information should the nurse include in the report?

Nursing Test Bank

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