A nurse is providing change-of-shift report for a client who has heart failure. Which of the following information should the nurse notinclude in the report?

The client's most recent blood pressure reading was 110/60 mm Hg.

The client's morning laboratory results included a potassium level of 4.9 mg/dL.

The client has +2 pitting edema in the lower extremities.

The client's partner assisted them with their meal tray.

Answer and Explanation

The Correct Answer is D

The client's partner assisting them with their meal tray (option d) is not as important as the other information and may not need to be included in the change-of-shift report.

A nurse providing change-of-shift report for a client who has heart failure should include all of the above information in the report.

The client's most recent blood pressure reading, morning laboratory results, and presence of pitting edema in the lower extremities are all important pieces of information that the incoming nurse should be aware of.

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Correct Answer is D

Explanation

Grapes are a common choking hazard for young children, especially toddlers, due to their small size, round shape, and slippery texture. The size and shape of grapes can block the airway and pose a significant risk if not properly cut or prepared before being given to a toddler. It is recommended to cut grapes into small pieces or slice them lengthwise to reduce the risk of choking.

While potatoes, corn, and oranges can also pose a choking risk if not properly prepared or cut into age-appropriate sizes, they are not as commonly associated with choking incidents in toddlers as grapes are. Nonetheless, it is essential for parents and caregivers to be aware of appropriate food preparation techniques and supervise children during meals to ensure their safety.

A. Encourage the client to gain 2.3 kg (5 lb) per week. B. Monitor the client for 15 min after meals. C. Weigh the client each morning after voiding D. Reinforce teaching about healthy eating during meals

Correct Answer is C

Explanation

C. Weigh the client each morning after voiding: Weighing the client in the morning after voiding is the standard practice for monitoring weight in clients with anorexia nervosa. This helps ensure consistency in the measurement of weight, as fluctuations throughout the day (due to food, fluid intake, etc.) can affect the accuracy of weight assessment.

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A nurse is providing change-of-shift report for a client who has heart failure. Which of the following information should the nurse notinclude in the report?

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Naxlex Comprehensive Predictor Exams

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