A nurse is assisting with the plan of care for a client who requires contact precautions.
Which of the following interventions should the nurse include in the plan?

Choice A rationale

Current medication prescriptions provide critical information about the client's ongoing treatments, including dosages, routes, and frequencies. This ensures continuity of care and prevents medication errors during the transition to the intensive care unit, promoting patient safety.

Choice B rationale

The primary health problem outlines the client's current medical condition necessitating transfer. It informs the receiving team about the clinical priorities and guides immediate care and management decisions to address the client’s needs effectively.

Choice C rationale

Scheduled times for dressing changes offer minimal relevance in an emergency transfer situation. While it provides routine care information, it does not impact immediate critical care and thus is less vital than other elements of the report.

Choice D rationale

The number of family members visiting holds no significance for transfer documentation. This detail does not affect medical care or provide essential information to the receiving unit and therefore is excluded from critical documentation.

Choice E rationale

Admission vital signs from a week ago are outdated and do not reflect the client’s current physiological status. Providing recent or trending vital signs is crucial to conveying the severity of the client's condition and enabling prompt intervention.

Choice A rationale

Squeezing each testicle between the thumb and forefinger is incorrect for testicular self-examination. This method could cause discomfort and does not allow proper palpation of the testicle surface for detecting abnormalities.

Choice B rationale

Performing the examination just after a warm bath or shower is recommended because warmth relaxes the scrotum, making it easier to feel for lumps or changes in the testicular tissue. This improves examination accuracy.

Choice C rationale

Beginning testicular self-examination at 30 years of age is incorrect. Guidelines suggest that self-examination should begin in adolescence or early adulthood to identify testicular cancer early, as it often affects younger men.

Choice D rationale

Completing the examination once per week is excessive and could lead to unnecessary anxiety. Monthly self-examinations are typically recommended to monitor for changes or abnormalities over time. .