A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Current medication prescriptions

Primary health problem

Number of family members who have visited

Admission vital signs from 1 week ago

Scheduled times for dressing changes

Answer and Explanation

Correct Answer : A,B,E

A. Current medication prescriptions: Ensures continuity of care and proper medication administration in the ICU.
B. Primary health problem: Provides the ICU team with context about the client’s current condition and reason for transfer.
C. Number of family members who have visited: This is not clinically relevant to the client's care.
D. Admission vital signs from 1 week ago: Historical vitals are not as critical as current or recent findings.
E. Scheduled times for dressing changes: Provides critical information about ongoing wound care needs.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Aspartate aminotransferase (AST) 34 units/L (0 to 34 units/L): This is within the normal range and does not contraindicate a biopsy.
B. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This is within the normal range and does not directly impact the safety of a biopsy.
C. Platelets 60,000/mm3 (150,000 to 400,000/mm3): A low platelet count increases the risk of bleeding during a liver biopsy, as platelets are critical for clotting. This value should be reported before the procedure.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This is at the upper limit of normal and does not necessitate reporting in the context of a liver biopsy.

A. "Perform breast self-examinations during the middle of your cycle." B. "Perform breast self-examinations while lying on your side." C. "Use small, circular motions, working vertically up and down across the breast." D. "Use the palm of your hand to detect the presence of any large masses under the skin."

Correct Answer is C

Explanation

A. "Perform breast self-examinations during the middle of your cycle.": The best time for premenopausal clients to perform a breast self-exam is 5-7 days after the menstrual period ends, when hormonal fluctuations are minimal, and the breasts are less tender.
B. "Perform breast self-examinations while lying on your side.": The recommended position for self-examination is lying flat with the arm on the side being examined raised above the head, as this spreads the breast tissue more evenly.
C. "Use small, circular motions, working vertically up and down across the breast.": The vertical strip method, using small circular motions, is the recommended technique for thorough breast self-examination. It ensures that all breast tissue is palpated, including the axillary area.
D. "Use the palm of your hand to detect the presence of any large masses under the skin.": The pads of the fingers, not the palm, are used to palpate the breast for lumps or abnormalities.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the nurse is appropriate regarding breast self-examinations?

Correct Answer is C

Explanation

A nurse is assisting with the care of the client Exhibits Complete the following sentence by using the list of options. The nurse should first plan to dropdownfollowed bydropdown.

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

A nurse is assisting with the plan of care for a client who has aspiration pneumonia and hypoxia. Which of the following actions should the nurse plan to take?

A nurse is admitting a client who reports excessive thirst, fever, and periods of confusion. The nurse suspects the client is experiencing heat exhaustion. Which of the following electrolyte imbalances should the nurse expect?

A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?

A nurse is assisting in the care of the client who is postoperative following a fasciotomy. Exhibits Which of the following actions should the nurse take? Select all that apply.

A nurse is assisting in the care of a client who is in the emergency department (ED) following a ski accident. Exhibits The nurse is collecting data on the client. Which of the following findings require follow up? Select all that apply.