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

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

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

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

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

Answer and Explanation

The Correct Answer is A

A. Correct. Providing information about the client's pain relief strategies and positioning preferences helps ensure continuity of care and optimal comfort for the client.

B. Incorrect. While medication administration is important, it's not as relevant for the change of shift report as information related to the client's condition, preferences, and care needs.

C. Incorrect. The client's family history of breast cancer is not the most critical information for the immediate care of the client and can be discussed during a more comprehensive assessment.

D. Incorrect. Although family support and visits are important, the duration of the partner's visit is not as relevant as the client's immediate care needs and preferences.

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Correct Answer is D

Explanation

A. Lining waste containers with single bags is a proper infection control measure.
B. Using dampened cloths for dusting can help prevent the spread of airborne particles.
C. Using a puncture-resistant container for sharps is an appropriate action to prevent needlestick injuries.
D. Correct. Placing soiled linens on the floor can lead to contamination of the environment and potential transmission of infection.

A. Oxygen saturation B. Weight C. Heart rate D. Blood pressure E. Temperature F. Sputum characteristics G. Respiratory complaint H. Travel history

Correct Answer is ["B","E","F","G","H"]

Explanation

A. The oxygen saturation is within normal range hence no need to evaluate further
B. Weight: The client has reported a significant weight loss of 2.26 kg (5 lbs.) over the past week. Unintentional weight loss can be a concerning symptom and may require further assessment.
C. Heart rate: The client's heart rate is within range.
D. Blood pressure is within normal range
E. The temperature is slightly elevated and indicates a need for further evaluation.
F. Sputum characteristics: The client reports "blood-tinged sputum." Coughing up blood in the sputum, known as hemoptysis, is a potentially serious symptom that warrants further evaluation to determine its cause.
G. Respiratory complaint: The client presents with a 4-day history of cough, often productive, along with other respiratory symptoms such as fatigue, night sweats, and a low-grade fever. These respiratory complaints require further evaluation to identify the underlying cause.
H. Travel history: The client recently traveled to South Africa and stayed for 3 weeks.
Travel history is important in assessing potential exposure to infectious diseases or other environmental factors that could contribute to the client's symptoms.

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

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Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who is Immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Correct Answer is D

Explanation

A nurse is assisting in the care of a client who presents to the emergency department. Exhibits A nurse is reviewing the client's medical record, which of the following findings indicates the need for further evaluation? Select all that apply.

Correct Answer is ["B","E","F","G","H"]

Explanation

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