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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 A

Explanation

A. "The body produces antibodies in response to an antigen with active immunity." Active immunity develops after exposure to an antigen, leading to antibody production.

B. "There is lifelong immunity with passive immunity." Passive immunity is temporary (e.g., maternal antibodies).

C. "The body is able to recognize previous exposure to antigens with passive immunity." Passive immunity does not create immune memory.

D. "There is a short duration of immunity with active immunity." Active immunity is long-lasting and sometimes lifelong.

A. Place the client on their side with their head forward. B. Administer an anticonvulsant medication. C. Time the length of the client's seizure. D. Loosen the client's gown and allow them to move freely.

Correct Answer is A

Explanation

A. Place the client on their side with their head forward. This position helps maintain an open airway, prevents aspiration, and allows secretions to drain. It is the priority intervention during an active seizure.

B. Administer an anticonvulsant medication. Medications like benzodiazepines (e.g., lorazepam) are used to stop prolonged seizures but are not the immediate priority over airway protection.

C. Time the length of the client's seizure. While monitoring seizure duration is important, ensuring airway protection and safety comes first.

D. Loosen the client's gown and allow them to move freely. While restrictive clothing should be loosened, allowing unrestricted movement could lead to self-injury.

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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

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Correct Answer is A

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Correct Answer is A

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