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A nurse is preparing a client for transfer to another unit. Which of the following findings should the nurse include in the transfer report? (Select all that apply.)

Observations about family relationships

Response to pain medication

Review of ongoing discharge plan

Recent physical changes

Comprehensive demographic information

Answer and Explanation

Correct Answer : B,C,D

A. Observations about family relationships: Personal relationship details are not required unless relevant to care.

B. Response to pain medication: Pain management effectiveness is crucial for continuity of care.

C. Review of ongoing discharge plan: The receiving unit should be aware of discharge plans to provide appropriate care.

D. Recent physical changes: Any changes in condition must be reported for safe care continuation.

E. Comprehensive demographic information: Basic demographic details are in the medical record and do not need to be included in a verbal report.

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Correct Answer is B

Explanation

A. Dryness – Infiltration leads to swelling and fluid accumulation, not dryness.

B. Edema – Infiltration occurs when IV fluids leak into surrounding tissue, causing swelling (edema).

C. Erythema – While redness (erythema) can indicate phlebitis, it is not a primary sign of infiltration.

D. A distended vein – A distended vein is more likely seen with fluid overload or thrombosis, not infiltration.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A. Insert the NG tube is the correct choice because the provider's order specifically states to "insert NG tube to low-intermittent suction." This intervention is a key part of managing acute pancreatitis, especially in clients experiencing nausea, vomiting, and abdominal distention.

B. Decompress the stomach and reduce vomiting is the correct reason because an NG tube helps remove gastric contents, reducing the stimulation of pancreatic enzyme secretion, which worsens inflammation. It also alleviates symptoms of nausea and vomiting, helping prevent further fluid loss and electrolyte imbalances.

Incorrect answers:

B. Administer prescribed antibiotics: There is no mention of an order for antibiotics in the provider’s prescriptions.

C. Perform abdominal assessment: While an abdominal assessment is always part of nursing care, it is not the primary action to implement the provider’s prescription. The nurse should still monitor for worsening symptoms, such as peritoneal signs or increasing distention.

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A nurse is preparing a client for transfer to another unit. Which of the following findings should the nurse include in the transfer report? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports burning around the peripheral IV site. Which of the following findings should the nurse identify as a manifestation of infiltration?

Correct Answer is B

Explanation

A nurse is caring for a client in the emergency department. Exhibits Complete the following sentence by using the lists of options. To implement the provider's prescriptions the nurse should dropdown because this will dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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