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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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 ["A","B","D"]
Explanation
A. Smoking – Smoking increases the risk of colorectal cancer and can be changed.
B. Alcohol consumption – Alcohol use increases cancer risk and is modifiable.
C. Inflammatory bowel disease – This is a non-modifiable risk factor.
D. High-fat diet – Dietary habits can be changed to lower the risk.
E. Colorectal polyps – Polyps are a non-modifiable risk factor.
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