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

Scheduled times for dressing changes.

Primary health problem.

Admission vital signs from 1 week ago.

Current medication prescriptions.

Number of family members who have visited.

Answer and Explanation

Correct Answer : B,D

Choice A rationale

Scheduled times for dressing changes are not typically included in transfer documentation. This information is usually part of the patient’s daily care plan and can be communicated to the receiving unit as needed.

Choice B rationale

The primary health problem is crucial information to include in the transfer documentation. It provides the receiving unit with a clear understanding of the patient’s main health issue and the reason for their transfer.

Choice C rationale

Admission vital signs from 1 week ago are not typically included in transfer documentation. The most recent vital signs are more relevant and provide a better indication of the patient’s current health status.

Choice D rationale

Current medication prescriptions are essential to include in the transfer documentation. This information ensures continuity of care and prevents medication errors.

Choice E rationale

The number of family members who have visited is not typically included in transfer documentation. This information is not directly related to the patient’s health status or care needs.

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Correct Answer is A

Explanation

Choice A rationale

Limiting sodium intake to no more than 2,000 milligrams per day is a recommended strategy to prevent hypertension. Excessive sodium intake can increase blood pressure by causing the body to retain fluid, which increases the volume of blood and subsequently, blood pressure.

Choice B rationale

While regular exercise is beneficial for overall health, the statement “I should exercise for 30 minutes three times per week” may not be sufficient for hypertension prevention. The American Heart Association recommends at least 150 minutes per week of moderate-intensity aerobic activity or 75 minutes per week of vigorous aerobic activity, or a combination of both, preferably spread throughout the week.

Choice C rationale

Eating fish once per week is not a specific recommendation for preventing hypertension. While fish can be a good source of lean protein and omega-3 fatty acids, it does not directly relate to blood pressure control.

Choice D rationale

The statement “With a BMI of 30, I should maintain my current weight” is incorrect. A BMI of 30 falls into the category of obesity, which is a risk factor for hypertension. Weight loss is recommended for hypertension prevention and control in overweight and obese individuals.

A. You may bathe in a tub until the catheter is removed. B. You should take ibuprofen for discomfort. C. You should wait 6 weeks before resuming sexual intercourse. D. You may drive after 1 week.

Correct Answer is C

Explanation

Choice A rationale

Bathing in a tub until the catheter is removed is not recommended after a transurethral resection of the prostate (TURP). This could increase the risk of infection.

Choice B rationale

Taking ibuprofen for discomfort is not typically recommended after TURP. Ibuprofen can increase the risk of bleeding.

Choice C rationale

Waiting 6 weeks before resuming sexual intercourse is a standard recommendation after TURP. This allows the body time to heal.

Choice D rationale

Driving after 1 week is not typically recommended after TURP. Patients are usually advised to avoid driving until they are free of pain and can move quickly and safely.

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

Nursing Test Bank

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Correct Answer is C

Explanation

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