A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

A. Admission vital signs: While admission vital signs are part of the client’s history, they are not usually relevant for change-of-shift reporting unless there has been a trend or abnormal finding that impacts current care. Reporting outdated vitals does not inform immediate clinical decisions.

B. Steps required for dressing change: Detailed procedural steps are not typically included in shift reports. The report should focus on current status, recent changes, and ongoing care needs rather than teaching or step-by-step instructions.

C. Time of last pain medication: Reporting the time of the last analgesic dose is important for continuity of care. It helps the incoming nurse assess pain control, schedule subsequent doses, and anticipate the client’s comfort needs.

D. Preferred bath time: While client preferences are helpful for planning care, they are not critical information for clinical decision-making during a shift report. This detail can be communicated during routine care rather than formal handoff.

A. Have visitors remain at least 0.91 m (3 feet) away from the client: Varicella zoster is highly contagious and spreads through airborne droplets, so simply keeping visitors a short distance away is insufficient to prevent transmission. More stringent precautions are required.

B. Initiate contact precautions for the client: Contact precautions alone do not adequately prevent the airborne spread of varicella. Airborne precautions must be implemented in addition to standard and contact precautions to protect others.

C. Administer aspirin if the client develops a fever: Aspirin is contraindicated in children with varicella due to the risk of Reye’s syndrome. Alternative antipyretics, such as acetaminophen, should be used instead.

D. Assign the client to a negative pressure airflow room: Airborne precautions, including placement in a negative pressure room, are necessary to prevent the spread of varicella to other clients and healthcare staff. This intervention effectively contains airborne pathogens and is a standard infection control measure.