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 D

Explanation

A. Reviewing facility policies is important but might not immediately address the reasons why the nurses are not taking breaks.
B. Discussing time management strategies might be helpful, but it's crucial to first understand the reasons behind the nurses' behavior.
C. Providing coverage for the nurses' breaks might be a short-term solution but doesn't address the underlying reasons for not taking breaks.
D. Determining the reasons the nurses are not taking scheduled breaks is the initial step to understand if it's due to workload, personal choice, or other factors. This information can guide appropriate interventions or support for the nurses.

A. Notify the unit manager about the incident. B. Alert the infection control department. C. Discuss the issue with the AP. D. Reinforce facility protocols at the next staff meeting.

Correct Answer is C

Explanation

A. Notifying the unit manager should happen but discussing the issue with the AP directly is the initial step in addressing the problem.
B. Alerting the infection control department is important, but direct communication with the AP should come first to address the immediate concern.
C. Speaking with the AP allows for immediate clarification and correction of the behavior, aiming to prevent further incidents.
D. Reinforcing facility protocols at a staff meeting is beneficial, but immediate correction at the individual level is more crucial to prevent recurrence of the issue.

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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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