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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Contact precautions are appropriate for MRSA to prevent the transmission of bacteria through direct or indirect contact with the infected area. This includes wearing gloves and gowns when caring for the client and ensuring proper hand hygiene.

B. Droplet precautions are used for pathogens that are spread through respiratory droplets, which is not applicable to MRSA.

C. Protective equipment is typically used for immunocompromised patients to prevent infections, but it is not the standard for MRSA.

D.Airborne precautions are necessary for diseases that spread through airborne particles, which does not include MRSA.

A. Report of chest pain B. Hypotension C. Ecchymosis D. Report of tinnitus

Correct Answer is A

Explanation

A. A report of chest pain is an adverse effect of epinephrine, which can increase myocardial oxygen demand and cause angina or myocardial ischemia.

B. Hypotension is not a common effect after administering epinephrine; it typically causes hypertension due to vasoconstriction.

C. Ecchymosis is not a known adverse effect of epinephrine and may be related to other factors.

D. Tinnitus is not a recognized adverse effect of epinephrine and does not commonly occur after administration.

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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?

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