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

The correct answer is choiced. Route.

Choice A rationale:

The time of administration is typically specified in the prescription and does not usually require clarification unless there are specific concerns about timing with other medications or meals.

Choice B rationale:

The medication, erythromycin, is clearly specified in the prescription. There is no ambiguity about which medication is being prescribed.

Choice C rationale:

The dosage of 500 mg is clearly stated and is a standard dose for erythromycin. There is no need to clarify this unless there are specific patient concerns or conditions that might affect dosing.

Choice D rationale:

The route of administration (e.g., oral, intravenous) is crucial information that must be clarified if not specified.Erythromycin can be administered in multiple ways, and the effectiveness and side effects can vary depending on the route

A. Recommend the client spend time alone in his room. B. Suggest the client exercise before going to bed. C. Offer the client low-protein snacks throughout the day. D. Encourage the client to use positive self-talk.

Correct Answer is D

Explanation

A. Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room.
B. Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep.
C. There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder.
D. Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.

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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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