A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

"The client's postoperative antibiotic was administered."

"The client's partner came to visit today."

"At 2200, the client's IV fluid bag and tubing will need replacing."

"Colonoscopy was performed 48 hours ago."

Answer and Explanation

The Correct Answer is C

A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.

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Correct Answer is D

Explanation

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

A. Check with the surgery department that the procedure is correct. B. Notify the provider after the client signs the form. C. Explain to the client that both breasts are to be removed. D. Ask the provider to clarify the procedure with the client before she signs the form.

Correct Answer is D

Explanation

A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.

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A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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