A night shift nurse is giving change-of-shift report to the day shift nurse on a client who is ready for discharge. Which of the following information is the priority for the nurse to communicate to the oncoming nurse?
The client will have a visit by a home health nurse tomorrow.
The client needs assistance when transferring from the bed to a wheelchair.
The client's partner will bring clothes for the client to change into prior to discharge.
The client often needs encouragement to engage in personal hygiene activities.
The Correct Answer is B
While a home health nurse visit is important, it is not an immediate safety concern for the client's discharge.
B. The need for assistance when transferring is critical information as it directly impacts the client's safety during discharge; the oncoming nurse must ensure proper support is arranged.
C. The fact that the client's partner will bring clothes is relevant but does not affect the immediate care of the client.
D. Encouragement for personal hygiene is important but is not as urgent as ensuring the client can safely transfer without risk of falls or injury.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
While a home health nurse visit is important, it is not an immediate safety concern for the client's discharge.
B. The need for assistance when transferring is critical information as it directly impacts the client's safety during discharge; the oncoming nurse must ensure proper support is arranged.
C. The fact that the client's partner will bring clothes is relevant but does not affect the immediate care of the client.
D. Encouragement for personal hygiene is important but is not as urgent as ensuring the client can safely transfer without risk of falls or injury.
Correct Answer is B
Explanation
A. While restricting visits from young children may help reduce infection risk, it is not a sufficient or specific intervention for neutropenic precautions.
B. Avoiding raw fruits is critical because they can harbor bacteria and increase the risk of infection in neutropenic clients. Cooked fruits are safer options.
C. Measuring temperature should occur more frequently than every 8 hours, ideally every 4 hours or more, to quickly identify fever, a sign of infection.
D. Disposable gloves should be used from within the client's room to maintain strict infection control measures; using gloves from outside could introduce contaminants.
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