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 A

Explanation

A. Correct. Memory loss that disrupts ADLs is a characteristic feature of dementia.
B. Acute onset of confusion might be related to delirium rather than dementia.
C. Catatonia is not a typical finding in dementia.
D. Illusions are not commonly associated with dementia.

A. Place a pulse oximeter on the client's finger. B. Administer oxygen to the client. C. Check the client's pulse rate. D. Establish a patent airway for the client.

Correct Answer is D

Explanation

A. While monitoring oxygen saturation is important, ensuring an open airway takes priority.
B. Administering oxygen is important, but ensuring an open airway is the initial priority.
C. Checking the pulse rate is important, but ensuring an open airway is the initial priority.
D. Correct. Establishing a patent airway is the most critical action for a client with compromised breathing and cyanosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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