A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
The time the client received his last dose of pain medication
The belief that the client has a difficult relationship with his son
The steps to follow when providing wound care
The client's preferred time for bathing
The Correct Answer is A
- A: Including the time the client received his last dose of pain medication is crucial for continuity of care. It ensures that the client receives their next dose on time and prevents either underdosing or overdosing. Pain management is a critical aspect of postoperative care, and accurate timing can significantly affect the client's recovery and comfort.
- B: Personal beliefs about the client's relationships are subjective and not typically relevant to the clinical care required during a transfer. Such information could lead to bias and does not contribute to the medical management of the client.
- C: While the steps for wound care are important, they are usually documented in the client's care plan and not necessary for a change-of-shift report unless there has been a recent change or a complication that the next team needs to be aware of.
- D: The client's preferred time for bathing is a part of personal care preferences and, while important for client comfort, is not critical information for a change-of-shift report. This information can be relayed to the rehabilitation facility but does not impact immediate clinical care.
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Related Questions
Correct Answer is A
Explanation
a. This statement indicates an understanding of droplet precautions, as wearing a surgical mask within 3 feet of the client helps prevent the transmission of respiratory droplets.
b. While having a room with a high-efficiency particulate air filtration system may be beneficial, it is not specific to droplet precautions.
c. Wearing an N95 respirator is typically reserved for airborne precautions, not droplet precautions.
d. Assigning the client to a room with positive airflow is not a standard practice for implementing droplet precautions.
Correct Answer is A
Explanation
a. An evidence-based nursing journal is a reliable source of information that provides peer-reviewed research and studies on various health conditions, including prevalence rates of diseases like Tay-Sachs.
b. The client's health care provider may have knowledge about Tay-Sachs disease, but they may not have immediate access to current prevalence rates.
c. The facility's case manager may assist with care coordination and resource management but may not provide specific information on disease prevalence.
d. Collaborative, user-edited websites may contain valuable information, but their reliability and accuracy can vary, so they may not be the most trustworthy source for prevalence data on rare diseases like Tay-Sachs.
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