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

"The client is the president of a local bank,"

"The client's partner came to visit him 2 hours ago."

"The client has routine vital signs prescribed."

"The client is in the radiology department for a chest x-ray."

Answer and Explanation

The Correct Answer is D

A.   Mentioning that the client is the president of a local bank might not be pertinent to the client's current health status or care needs and is not typically included in a change-of- shift report unless relevant to the care plan.
B.   The fact that the client's partner came to visit two hours ago might be important for emotional support or social interaction but might not be crucial information for the oncoming nurse unless relevant to the client's condition.
C.   The client has routine vital signs prescribed” is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
D.   This is critical information for the incoming nurse. It informs them that the client is currently away from the unit, which may affect the plan of care, including monitoring, medication administration, or any interventions needed during the client’s absence. It is important for the incoming nurse to be aware of the client's current status and whereabouts.

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Correct Answer is B

Explanation

A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.

A. Contact the case manager to discuss discharge options. B. Recommend the partner place the client in a long-term care facility. C. Request another family member assist the client's partner with care. D. Ask the provider to delay the client's discharge home for a few more days

Correct Answer is A

Explanation

A. Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B. Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C. Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D. Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.

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

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Naxlex Comprehensive Predictor Exams

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