A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report?

"The client is the president of a local bank,"

"The client's partner came to visit him 2 hours ago."

"The client has routine vital signs prescribed."

"The client is in the radiology department for a chest x-ray."

Answer and Explanation

The Correct Answer is D

A.   Mentioning that the client is the president of a local bank might not be pertinent to the client's current health status or care needs and is not typically included in a change-of- shift report unless relevant to the care plan.
B.   The fact that the client's partner came to visit two hours ago might be important for emotional support or social interaction but might not be crucial information for the oncoming nurse unless relevant to the client's condition.
C.   The client has routine vital signs prescribed” is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
D.   This is critical information for the incoming nurse. It informs them that the client is currently away from the unit, which may affect the plan of care, including monitoring, medication administration, or any interventions needed during the client’s absence. It is important for the incoming nurse to be aware of the client's current status and whereabouts.

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Correct Answer is C,B,A,D

Explanation

1. C. Identify what skills to teach the staff members
2. B. Develop learning objectives for the program
3. A. Schedule several sessions of the program
4. D. Conduct program evaluation with staff members

A. Ask the client's son to go to the waiting area. B. Ask the client about his injuries with the son present. C. Treat and discharge the client. D. File an incident report.

Correct Answer is A

Explanation

A. Asking the client's son to go to the waiting area allows the nurse to have a private conversation with the client, which is crucial in suspected cases of elder abuse to gather information without potential interference or intimidation.
B. Asking about injuries with the son present might hinder the client from disclosing information due to fear or pressure.
C. Treating and discharging the client without addressing the suspected elder abuse could potentially put the client in further danger.
D. Filing an incident report might be necessary but should follow an assessment and investigation of the situation.

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A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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