Exhibits

A nurse is reviewing the medical record of a client who has COPD. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

A. Preferred bath time is incorrect. While important for comfort and care planning, the preferred bath time is not critical information for change-of-shift report unless directly relevant to immediate care.

B. Time of last pain medication is correct. Information about the last dose of pain medication is essential to assess the client’s current pain level and determine if another dose is required. It also helps to plan for ongoing pain management and monitor for signs of over-medication or under-medication.

C. Steps required for dressing change is incorrect. While it is important to know the steps for dressing changes, this would typically be included in the written care instructions, not necessarily as part of the verbal change-of-shift report.

D. Admission vital signs is incorrect. Admission vital signs are not typically necessary for change-of-shift report unless there has been a significant change in the client’s condition since admission. It is more important to focus on current assessments and interventions.

A. Stating that palliative care is only for clients with a terminal illness is incorrect. Palliative care is designed for clients with serious, chronic, or life-threatening illnesses and focuses on symptom management and quality of life, regardless of prognosis.

B. Limiting palliative care to those with 6 months or less to live is incorrect. This definition applies to hospice care, not palliative care. Palliative care can be provided alongside curative treatments at any stage of illness.

C. Including restriction of nutritional support is incorrect. Palliative care emphasizes comfort and symptom relief, including providing adequate nutrition and hydration as appropriate for the client’s needs and wishes.

D. Enhancing quality of life by promoting comfort is correct. Palliative care aims to relieve symptoms such as pain, nausea, and fatigue while supporting the client’s emotional, psychological, and spiritual well-being.