A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

"The client's postoperative antibiotic was administered."

"The client's partner came to visit today."

"At 2200, the client's IV fluid bag and tubing will need replacing."

"Colonoscopy was performed 48 hours ago."

Answer and Explanation

The Correct Answer is C

A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.

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Correct Answer is A

Explanation

A. In the Islamic perspective, committing suicide is considered as a grave sin, and Muslims are clearly instructed in several verses in the Holy Quran to avoid killing one another or killing one’s self.
B. Organ donation is prohibited. This is incorrect. Organ donation is generally permissible in Islam if it helps save lives, though beliefs and practices can vary among individuals and cultural interpretations.
C. There are spiritual gods to protect him during the process of dying. In Islam, there is a belief in one God (Allah). The concept of multiple spiritual gods is not consistent with Islamic teachings.
D. Final decisions about death are made by the provider. This is incorrect. In Islam, the belief is that Allah ultimately controls life and death, though healthcare providers play a crucial role in caring for the dying.

A. Provide information about the risks of a surgical procedure to the client. B. Request the client sign the informed consent form after administering a preoperative sedative. C. Mark the client's surgical site with a small strip of nonporous tape. D. Call a "time out" to verify client identity before starting a surgical procedure.

Correct Answer is D

Explanation

A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.

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A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is dying and practices Islam. The nurse should expect that the client has which of the following religious beliefs about death and dying?

Correct Answer is A

Explanation

A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Correct Answer is D

Explanation

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