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) Knowing the time the client received his last dose of pain medication is crucial for continuity of care, ensuring that the client receives their next dose on time and pain management is consistent.
- B) Personal beliefs about the client's relationships are not relevant to the medical care and should remain confidential unless it directly impacts the care plan.
- C) While important, the detailed steps for wound care will be included in the client's care plan and are not typically communicated during a change-of-shift report unless there is a change or an issue.
- 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 unless it affects immediate care needs.
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Related Questions
Correct Answer is A
Explanation
A: The autonomy of the patient is paramount in medical ethics. If the client understands the risks and still refuses the procedure, their choice must be respected. It is a fundamental right for patients to make informed decisions about their own healthcare.
B: While a durable power of attorney for health care is crucial when a patient is incapacitated, it does not override the wishes of a competent patient. As long as the client is capable of making decisions, their consent is required for any procedure.
C: Although religious beliefs are respected, they do not serve as the primary deciding factor if the client is competent. The client's understanding and decision-making capacity are the key determinants in whether to proceed with the surgery.
D: The ethics committee can provide guidance on complex cases, but it cannot make decisions for a competent patient. The committee's role is advisory, and the final decision rests with the patient.
Correct Answer is A
Explanation
a. Before taking any further action, the charge nurse should first determine the reasons why the nurses are not taking their scheduled breaks. Understanding the underlying causes will help address the issue effectively.
b. Providing coverage for the nurses' breaks may be necessary but should not be the first action taken. It is important to understand why the nurses are not taking breaks before providing coverage.
c. While reviewing facility policies is important, it should not be the first step when addressing the issue of nurses not taking breaks.
d. Discussing time management strategies with the nurses may be helpful, but it should come after understanding the reasons behind their behavior.
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