A nurse is transferring a client to another unit.
Which of the following statements should the nurse include in the transfer report?
He appears anxious about the transfer.
His partner has been visiting.
He is voiding adequately.
He is allergic to sulfa.
The Correct Answer is D
Choice A rationale
He appears anxious about the transfer provides subjective information about the client's emotional state. While important, it's not essential for the transfer report which typically focuses on objective, actionable data.
Choice B rationale
His partner has been visiting is valuable for understanding the client's support system, but it does not directly affect the client's clinical care during transfer.
Choice C rationale
He is voiding adequately offers relevant information about the client's bodily function, important for ongoing care but not as critical as allergy information.
Choice D rationale
He is allergic to sulfa provides essential medical information that can affect the client's treatment plan. Knowing allergies is crucial to prevent adverse reactions to medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Choosing foods high in fiber and low in fat is beneficial for maintaining a healthy diet. High-fiber foods help improve digestion, regulate blood sugar levels, and reduce the risk of heart disease, while low-fat foods help control calorie intake and support weight management.
Choice B rationale
Including a variety of fruits and vegetables is crucial for a balanced diet as they provide essential vitamins, minerals, and antioxidants. However, it does not address the need to limit fat intake, which is also important for overall health.
Choice C rationale
Drinking plenty of water throughout the day is vital for staying hydrated and supporting bodily functions. Nevertheless, it does not directly impact the intake of fiber and fat, which are key components of a healthy diet.
Choice D rationale
Limiting the intake of sugary and processed foods is important for reducing the risk of various health issues such as obesity, diabetes, and heart disease. However, it does not emphasize the importance of high fiber and low-fat foods, which are essential for a healthy diet. o
Correct Answer is C
Explanation
Choice A rationale
Injecting air into the ampule prior to drawing the medication into a syringe can cause the medication to spill and is not a safe practice.
Choice B rationale
Adding 0.5 mL of diluent to the medication is not a standard procedure for medication administration from an ampule and can lead to incorrect dosing.
Choice C rationale
Using a filter needle to aspirate the medication is important to prevent glass particles from the broken ampule from entering the syringe and being administered to the patient.
Choice D rationale
Cleansing the tip of the ampule with an alcohol swab after opening is unnecessary, as the medication is already inside the sealed ampule, and it can increase the risk of contamination.
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